| Life Well Health Services | |
|
2408 Susannah St Ste 3 Johnson City TN 37601-1765 | |
| (877) 338-0118 | |
| (423) 268-2011 |
| Full Name | Life Well Health Services |
|---|---|
| Speciality | Internal Medicine |
| Location | 2408 Susannah St Ste 3, Johnson City, Tennessee |
| Authorized Official Name and Position | Philip Blake Musick (OWNER/AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 2765917035 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Well Health Services 288 Laurel Cyn Johnson City TN 37615-4726 Ph: (877) 338-0118 | Life Well Health Services 2408 Susannah St Ste 3 Johnson City TN 37601-1765 Ph: (877) 338-0118 |
| NPI Number | 1316604515 |
|---|---|
| Provider Enumeration Date | 11/22/2021 |
| Last Update Date | 10/24/2023 |
| Medicare PECOS PAC ID | 5294127601 |
|---|---|
| Medicare Enrollment ID | O20220114002055 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316604515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jason Della Vecchia |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1770554982 PECOS PAC ID: 6901886159 Enrollment ID: I20120319000381 |
| Provider Name | Laura Purdy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093058463 PECOS PAC ID: 9133556624 Enrollment ID: I20200221002266 |
| Provider Name | Joel Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194783472 PECOS PAC ID: 7517943327 Enrollment ID: I20221027002153 |
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Wyche & Wyche, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2406 Susannah St, Johnson City, TN 37601 Phone: 423-282-2542 Fax: 423-282-5447 | |
Imperial Healthcare Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1604 Lamons Ln Ste 230, Johnson City, TN 37604 Phone: 423-930-5168 Fax: 423-328-0193 | |
New Life Chiropractic And Wellness Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 514 E Watauga Ave, Johnson City, TN 37601 Phone: 423-928-4101 | |
State Of Franklin Healthcare Associates Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2528 Wesley St, Suite 2, Johnson City, TN 37601 Phone: 423-794-2430 Fax: 423-283-9719 | |
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