Community Wellness Medical Associates, P.s.c. | |
1355 Lebanon Rd Danville KY 40422-9632 | |
(888) 690-3696 | |
(408) 618-6234 |
Full Name | Community Wellness Medical Associates, P.s.c. |
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Speciality | Family Medicine |
Location | 1355 Lebanon Rd, Danville, Kentucky |
Authorized Official Name and Position | Yolanda Celi (CHIEF ADMINISTRATIVE OFFICER) |
Authorized Official Contact | 6507222611 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Community Wellness Medical Associates, P.s.c. 212 N 2nd St Ste 100 Richmond KY 40475-1408 Ph: () - | Community Wellness Medical Associates, P.s.c. 1355 Lebanon Rd Danville KY 40422-9632 Ph: (888) 690-3696 |
NPI Number | 1972250694 |
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Provider Enumeration Date | 03/02/2022 |
Last Update Date | 06/20/2024 |
Medicare PECOS PAC ID | 0042697088 |
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Medicare Enrollment ID | O20220613000232 |
Identifier | Type | State | Issuer |
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1972250694 | NPI | - | NPPES |
Provider Name | Michael Catausan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932326071 PECOS PAC ID: 0143312694 Enrollment ID: I20231115000548 |
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