Wells Medical Clinic Inc is a medicare enrolled primary clinic (Family Medicine) in Bruce, Mississippi. The current practice location for Wells Medical Clinic Inc is 407 East Calhoun St, Bruce, Mississippi. For appointments, you can reach them via phone at
(662) 983-2151. The mailing address for Wells Medical Clinic Inc is Po Box 902, Bruce, Mississippi and phone number is (662) 983-2151.
Wells Medical Clinic Inc is licensed to practice in Mississippi (license number 09661). The clinic also participates in the medicare program and its
NPI number is 1780772780. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(662) 983-2151.
Primary Care Clinic Profile
| Full Name | Wells Medical Clinic Inc |
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| Speciality | Family Medicine |
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| Location | 407 East Calhoun St, Bruce, Mississippi |
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| Authorized Official Name and Position | Willie L Wells (PRESIDENT OF WELLS MEDICAL CLINIC) |
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| Authorized Official Contact | 6629832151 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Wells Medical Clinic Inc
Po Box 902
Bruce
MS 38915
Ph: (662) 983-2151 | Wells Medical Clinic Inc
407 East Calhoun St
Bruce
MS 38915
Ph: (662) 983-2151 |
NPI Details:
| NPI Number | 1780772780 |
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| Provider Enumeration Date | 10/11/2006 |
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| Last Update Date | 08/22/2020 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 4587731609 |
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| Medicare Enrollment ID | O20080916000063 |
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Medical Identifiers
Medical identifiers for Wells Medical Clinic Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1780772780 | NPI | - | NPPES |
| 09015158 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 09661 (Mississippi) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Wells Medical Clinic Inc acts as a billing entity for following providers:
| Provider Name | Willie Lee Wells |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1841315678
PECOS PAC ID: 1850468976
Enrollment ID: I20080916000077 |
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