| Essential Health & Wellness Llc | |
|
1001 N Buckner St Derby KS 67037-1824 | |
| (316) 425-3337 | |
| (316) 425-3799 |
| Full Name | Essential Health & Wellness Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1001 N Buckner St, Derby, Kansas |
| Authorized Official Name and Position | Amanda Helms (MEMBER) |
| Authorized Official Contact | 3164253337 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Essential Health & Wellness Llc 1001 N Buckner St Derby KS 67037-1824 Ph: (316) 425-3337 | Essential Health & Wellness Llc 1001 N Buckner St Derby KS 67037-1824 Ph: (316) 425-3337 |
| NPI Number | 1528502812 |
|---|---|
| Provider Enumeration Date | 12/06/2016 |
| Last Update Date | 10/26/2022 |
| Medicare PECOS PAC ID | 1153604376 |
|---|---|
| Medicare Enrollment ID | O20170214002359 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528502812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Jesus E Val Mejias |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497734982 PECOS PAC ID: 1658263132 Enrollment ID: I20041001000185 |
| Provider Name | Michael J Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427247121 PECOS PAC ID: 5890875231 Enrollment ID: I20080110000314 |
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