| Access Wellness Healthcare Corp | |
|
165 Sw Vision Gln Lake City FL 32025-1111 | |
| (386) 755-1800 | |
| Not Available |
| Full Name | Access Wellness Healthcare Corp |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 165 Sw Vision Gln, Lake City, Florida |
| Authorized Official Name and Position | Umesh Mhatre (CHAIRMAN) |
| Authorized Official Contact | 3867551800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Access Wellness Healthcare Corp 5915 Sw 49th Ave Ocala FL 34474-5701 Ph: () - | Access Wellness Healthcare Corp 165 Sw Vision Gln Lake City FL 32025-1111 Ph: (386) 755-1800 |
| NPI Number | 1326757204 |
|---|---|
| Provider Enumeration Date | 11/18/2022 |
| Last Update Date | 03/03/2023 |
| Medicare PECOS PAC ID | 0143693218 |
|---|---|
| Medicare Enrollment ID | O20230310001772 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326757204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Parikshit Deshmukh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437395845 PECOS PAC ID: 3173789948 Enrollment ID: I20120723000717 |
| Provider Name | Samantha Faith Rojas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336472539 PECOS PAC ID: 0345551990 Enrollment ID: I20150623001908 |
| Provider Name | Adriana Bentum-tilus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801330519 PECOS PAC ID: 7012291198 Enrollment ID: I20170309001645 |
| Provider Name | Moses Enakiruvie Ekakitie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538831110 PECOS PAC ID: 7214329929 Enrollment ID: I20220110000025 |
| Provider Name | Natascha Katovich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699421560 PECOS PAC ID: 0648667758 Enrollment ID: I20220420000053 |
| Provider Name | Timothy Mahaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386329514 PECOS PAC ID: 8224498613 Enrollment ID: I20230717003156 |
| Provider Name | Debbie Raymond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336780857 PECOS PAC ID: 1951755644 Enrollment ID: I20230928003555 |
| Provider Name | Marie E Emmanuel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457123176 PECOS PAC ID: 8426408535 Enrollment ID: I20240102000437 |
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