| Medwell Plus | |
|
1204c N 2nd St Booneville MS 38829-1013 | |
| (662) 720-6007 | |
| (662) 966-0007 |
| Full Name | Medwell Plus |
|---|---|
| Speciality | Clinic/Center |
| Location | 1204c N 2nd St, Booneville, Mississippi |
| Authorized Official Name and Position | Melody Anne Cole (NURSE PRACTITIONER) |
| Authorized Official Contact | 6627206007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medwell Plus 1204c N 2nd St Booneville MS 38829-1013 Ph: (662) 720-6007 | Medwell Plus 1204c N 2nd St Booneville MS 38829-1013 Ph: (662) 720-6007 |
| NPI Number | 1659160745 |
|---|---|
| Provider Enumeration Date | 05/05/2025 |
| Last Update Date | 05/05/2025 |
| Certification Date | 05/05/2025 |
| Medicare PECOS PAC ID | 1456860055 |
|---|---|
| Medicare Enrollment ID | O20250604002825 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659160745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| Provider Name | Marilyn Rhoads Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023092533 PECOS PAC ID: 1557348000 Enrollment ID: I20040701001327 |
| Provider Name | Melody Anne Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144942129 PECOS PAC ID: 2365951969 Enrollment ID: I20250604003263 |
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