| Heartplus Diagnostic Clinic /celestial Health & Wellness | |
|
406 Briarwood Dr Ste 401 Jackson MS 39206-3063 | |
| (601) 707-7899 | |
| (866) 304-0148 |
| Full Name | Heartplus Diagnostic Clinic /celestial Health & Wellness |
|---|---|
| Speciality | Internal Medicine |
| Location | 406 Briarwood Dr Ste 401, Jackson, Mississippi |
| Authorized Official Name and Position | Berthrone Mock-muhammad (PHYSICIAN OWNER) |
| Authorized Official Contact | 6017077899 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartplus Diagnostic Clinic /celestial Health & Wellness Po Box 5025 Jackson MS 39296-5025 Ph: (601) 707-7899 | Heartplus Diagnostic Clinic /celestial Health & Wellness 406 Briarwood Dr Ste 401 Jackson MS 39206-3063 Ph: (601) 707-7899 |
| NPI Number | 1124436977 |
|---|---|
| Provider Enumeration Date | 07/24/2014 |
| Last Update Date | 09/26/2023 |
| Medicare PECOS PAC ID | 3870816861 |
|---|---|
| Medicare Enrollment ID | O20141224000113 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124436977 | NPI | - | NPPES |
| 1285781153 | Other | MS | NPI |
| 03925069 | Medicaid | MS |
| Provider Name | Berthrone Mock-muhammad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285781153 PECOS PAC ID: 1658439153 Enrollment ID: I20081028000599 |
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