| Wellcomemd Naples Clinic, Llc | |
|
1890 Sw Health Pkwy Ste 100 Naples FL 34109-0473 | |
| (239) 597-0544 | |
| (877) 500-8032 |
| Full Name | Wellcomemd Naples Clinic, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1890 Sw Health Pkwy Ste 100, Naples, Florida |
| Authorized Official Name and Position | Jessica Parnell (REGIONAL DIRECTOR OF PRACTICE MGMT) |
| Authorized Official Contact | 8042568205 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellcomemd Naples Clinic, Llc 10001 Patterson Ave Ste 202 Richmond VA 23238-5126 Ph: () - | Wellcomemd Naples Clinic, Llc 1890 Sw Health Pkwy Ste 100 Naples FL 34109-0473 Ph: (239) 597-0544 |
| NPI Number | 1164019261 |
|---|---|
| Provider Enumeration Date | 12/23/2020 |
| Last Update Date | 02/09/2021 |
| Medicare PECOS PAC ID | 0143636845 |
|---|---|
| Medicare Enrollment ID | O20210303003402 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164019261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Melissa Macvenn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982831038 PECOS PAC ID: 5799936571 Enrollment ID: I20170517000965 |
| Provider Name | Diana Maria Macian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780730424 PECOS PAC ID: 4981842432 Enrollment ID: I20171214002297 |
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