| Body Basics Wellness Center Llc | |
|
42-a Main Street Reisterstown MD 21136 | |
| (410) 702-7354 | |
| (443) 569-6768 |
| Full Name | Body Basics Wellness Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 42-a Main Street, Reisterstown, Maryland |
| Authorized Official Name and Position | Dr. Kaysan Johnson-owens (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4438037847 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Body Basics Wellness Center Llc 42-a Main Street Reisterstown MD 21136 Ph: (410) 702-7354 | Body Basics Wellness Center Llc 42-a Main Street Reisterstown MD 21136 Ph: (410) 702-7354 |
| NPI Number | 1891494811 |
|---|---|
| Provider Enumeration Date | 02/28/2023 |
| Last Update Date | 02/28/2023 |
| Medicare PECOS PAC ID | 2668837105 |
|---|---|
| Medicare Enrollment ID | O20230505000302 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891494811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Kaysan Johnson Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295979854 PECOS PAC ID: 0547483570 Enrollment ID: I20230505000370 |
Atlantic Medical Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10952 Baskerville Rd, Reisterstown, MD 21136 Phone: 410-356-5761 | |
University Of Maryland St. Joseph Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Westminster Pike, Reisterstown, MD 21136 Phone: 410-427-5430 | |
Harmony Primary Care Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 Main St, Suite 200, Reisterstown, MD 21136 Phone: 410-526-8310 Fax: 410-526-8316 | |
Divine Health Psychiatric Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 117 E Cherry Hill Rd, Reisterstown, MD 21136 Phone: 443-204-3919 Fax: 410-521-3671 | |
Carroll Health Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 Westminster Pike, Suite 101, Reisterstown, MD 21136 Phone: 410-517-2840 | |
Immunity Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 750 Main St Fl 2, Reisterstown, MD 21136 Phone: 410-297-1601 Fax: 443-285-0787 | |
University Of Maryland St. Joseph Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 750 Main St Ste 310, Reisterstown, MD 21136 Phone: 410-526-7800 |