Livwell Clinic Pllc | |
4715 24th Pl Meridian MS 39305-1686 | |
(601) 696-6736 | |
Not Available |
Full Name | Livwell Clinic Pllc |
---|---|
Speciality | Family Medicine |
Location | 4715 24th Pl, Meridian, Mississippi |
Authorized Official Name and Position | Andrea Denise Goodwin (OWNER AND MEDICAL DIRECTOR) |
Authorized Official Contact | 6074342102 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Livwell Clinic Pllc 6500 River Place Blvd Bldg 4 Ste 102 Austin TX 78730-1120 Ph: (607) 434-2102 | Livwell Clinic Pllc 4715 24th Pl Meridian MS 39305-1686 Ph: (601) 696-6736 |
NPI Number | 1427831973 |
---|---|
Provider Enumeration Date | 08/17/2023 |
Last Update Date | 08/17/2023 |
Medicare PECOS PAC ID | 1557718665 |
---|---|
Medicare Enrollment ID | O20231111000238 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427831973 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
363LP2300X | Nurse Practitioner - Primary Care | (* (Not Available)) | Secondary |
Provider Name | Andrea D. Goodwin |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285616870 PECOS PAC ID: 8325933211 Enrollment ID: I20221027001347 |
Greater Meridian Health Clinic, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2701 Davis St, Meridian, MS 39301 Phone: 601-693-0118 Fax: 844-778-8922 | |
East Ms State Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4555 Highland Park Dr, Meridian, MS 39307 Phone: 601-481-1135 Fax: 601-581-7676 | |
Ochsner Health Center- Hwy 19 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1500 Highway 19 N, Meridian, MS 39307 Phone: 601-483-5353 Fax: 601-696-3231 | |
Greater Meridian Health Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2701 Davis St, Meridian, MS 39301 Phone: 601-693-0118 Fax: 844-778-8922 | |
Anderson Infectious Disease Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 20th St, Meridian, MS 39301 Phone: 601-553-6361 Fax: 601-484-5384 | |
Primary Medical Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5000 Highway 39 N, Meridian, MS 39301 Phone: 601-646-0898 | |
Gmhc, Inc./mpsd G W Carver Community School Base Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 900 44th Ave, Meridian, MS 39307 Phone: 601-693-0118 Fax: 844-778-8922 |