| Wellness Centers Of Midamerica Pllc | |
|
501 E B St Russellville AR 72801-4129 | |
| (479) 567-5467 | |
| (479) 219-5500 |
| Full Name | Wellness Centers Of Midamerica Pllc |
|---|---|
| Speciality | General Practice |
| Location | 501 E B St, Russellville, Arkansas |
| Authorized Official Name and Position | Mary Annette Pugh (OWNER MD) |
| Authorized Official Contact | 4795675467 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Centers Of Midamerica Pllc 501 E B St Russellville AR 72801-4129 Ph: (479) 567-5467 | Wellness Centers Of Midamerica Pllc 501 E B St Russellville AR 72801-4129 Ph: (479) 567-5467 |
| NPI Number | 1326693474 |
|---|---|
| Provider Enumeration Date | 08/06/2019 |
| Last Update Date | 11/20/2025 |
| Medicare PECOS PAC ID | 1850621319 |
|---|---|
| Medicare Enrollment ID | O20190925003195 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326693474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Mary A Pugh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831359082 PECOS PAC ID: 9739360504 Enrollment ID: I20140613000416 |
| Provider Name | Wanda M Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346731866 PECOS PAC ID: 8729336599 Enrollment ID: I20190516002757 |
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