| Md Wellness And Health Center | |
|
10518 Spotsylvania Ave, Suite 102 Fredericksburg VA 22408 | |
| (540) 645-6400 | |
| (888) 427-4279 |
| Full Name | Md Wellness And Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 10518 Spotsylvania Ave,, Fredericksburg, Virginia |
| Authorized Official Name and Position | Makini Shani Garrett Ainsworth (CEO, INTERNAL MEDICINE PHYSICIAN) |
| Authorized Official Contact | 5406456400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Md Wellness And Health Center 10518 Spotsylvania Ave, Suite 102 Fredericksburg VA 22408 Ph: (540) 645-6400 | Md Wellness And Health Center 10518 Spotsylvania Ave, Suite 102 Fredericksburg VA 22408 Ph: (540) 645-6400 |
| NPI Number | 1154726123 |
|---|---|
| Provider Enumeration Date | 11/03/2014 |
| Last Update Date | 11/20/2019 |
| Medicare PECOS PAC ID | 8527382316 |
|---|---|
| Medicare Enrollment ID | O20150127001919 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154726123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261QM2500X | Clinic/center - Medical Specialty | 0101238953 (Virginia) | Primary |
| Provider Name | Makini Sg Ainsworth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215997325 PECOS PAC ID: 6002091410 Enrollment ID: I20110429000110 |
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