Beyond Wellness Pllc | |
6802 Paragon Pl Ste 410 Richmond VA 23230-1655 | |
(702) 728-0528 | |
Not Available |
Full Name | Beyond Wellness Pllc |
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Speciality | Clinic/Center |
Location | 6802 Paragon Pl Ste 410, Richmond, Virginia |
Authorized Official Name and Position | Lisa Anderson (PRESIDENT) |
Authorized Official Contact | 8553806136 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Beyond Wellness Pllc Po Box 30085 Las Vegas NV 89173-0085 Ph: () - | Beyond Wellness Pllc 6802 Paragon Pl Ste 410 Richmond VA 23230-1655 Ph: (702) 728-0528 |
NPI Number | 1144089459 |
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Provider Enumeration Date | 03/18/2024 |
Last Update Date | 08/06/2024 |
Medicare PECOS PAC ID | 8729520598 |
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Medicare Enrollment ID | O20241002000546 |
Identifier | Type | State | Issuer |
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1144089459 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Zachariah Jon Jensen |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1184128175 PECOS PAC ID: 9234534322 Enrollment ID: I20241002000693 |
Mary Brantley Holmes Msn Whnp-bc Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8955 Wishart Rd, Richmond, VA 23229 Phone: 804-928-5596 | |
Independent Associates Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7605 Forest Ave, Ste 211, Richmond, VA 23229 Phone: 804-282-3114 Fax: 804-285-9723 | |