Wellness And Mental Health Services, Llc | |
19815 Bridgetown Loop Venice FL 34293-2277 | |
(941) 214-6070 | |
(941) 219-5468 |
Full Name | Wellness And Mental Health Services, Llc |
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Speciality | Clinic/Center |
Location | 19815 Bridgetown Loop, Venice, Florida |
Authorized Official Name and Position | Jennifer Lynn Bigelow (OWNER) |
Authorized Official Contact | 9419156298 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wellness And Mental Health Services, Llc 4291 S Tamiami Trl Unit 1046 Venice FL 34293-5131 Ph: (941) 214-6070 | Wellness And Mental Health Services, Llc 19815 Bridgetown Loop Venice FL 34293-2277 Ph: (941) 214-6070 |
NPI Number | 1316663420 |
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Provider Enumeration Date | 10/19/2022 |
Last Update Date | 10/19/2022 |
Medicare PECOS PAC ID | 3779951322 |
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Medicare Enrollment ID | O20221201002726 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316663420 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Jennifer Bigelow |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942613054 PECOS PAC ID: 7416177118 Enrollment ID: I20151118003041 |
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