Rapha Wellness And Primary Care, Llc | |
148 Daughdrill Sta Flowood MS 39232-8406 | |
(601) 992-9790 | |
(601) 992-9796 |
Full Name | Rapha Wellness And Primary Care, Llc |
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Speciality | Clinic/Center |
Location | 148 Daughdrill Sta, Flowood, Mississippi |
Authorized Official Name and Position | Natalie Michelle Alexander (PAYROLL AND ACCOUNTS SPECIALIST) |
Authorized Official Contact | 6019929790 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rapha Wellness And Primary Care, Llc 148 Daughdrill Sta Flowood MS 39232-8406 Ph: (601) 992-9790 | Rapha Wellness And Primary Care, Llc 148 Daughdrill Sta Flowood MS 39232-8406 Ph: (601) 992-9790 |
NPI Number | 1457051591 |
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Provider Enumeration Date | 03/07/2023 |
Last Update Date | 03/07/2023 |
Medicare PECOS PAC ID | 9830539261 |
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Medicare Enrollment ID | O20240501003470 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457051591 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Melissa Harrell Mckissack |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538497334 PECOS PAC ID: 7911035324 Enrollment ID: I20100505000742 |
Provider Name | James M Clark |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639418486 PECOS PAC ID: 5092953315 Enrollment ID: I20130529000004 |
Provider Name | Karen H Bedells |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063898633 PECOS PAC ID: 4880903426 Enrollment ID: I20151021001069 |
Provider Name | Jessica M Tolar |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326689662 PECOS PAC ID: 3173917259 Enrollment ID: I20220307001845 |
Provider Name | Sonya Newsome |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275231565 PECOS PAC ID: 1153855739 Enrollment ID: I20241106000602 |
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