360 Wellness & Nutrition, Pa - Medicare Primary Care in Wilson, NC

360 Wellness & Nutrition, Pa is a medicare enrolled primary clinic (Family Medicine) in Wilson, North Carolina. The current practice location for 360 Wellness & Nutrition, Pa is 1704 Glendale Dr Sw, Wilson, North Carolina. For appointments, you can reach them via phone at (252) 237-1225. The mailing address for 360 Wellness & Nutrition, Pa is 1704 S Glendale Avenue, Suite A, Wilson, North Carolina and phone number is (252) 237-1225.

360 Wellness & Nutrition, Pa is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1316603285. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (252) 237-1225.

Contact Information

360 Wellness & Nutrition, Pa
1704 Glendale Dr Sw
Wilson
NC 27893-4678
(252) 237-1225
Not Available

Primary Care Clinic Profile

Full Name360 Wellness & Nutrition, Pa
SpecialityFamily Medicine
Location1704 Glendale Dr Sw, Wilson, North Carolina
Authorized Official Name and PositionRenu Kasula (CREDENTIALING SPECIALIST)
Authorized Official Contact9198523450
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
360 Wellness & Nutrition, Pa
1704 S Glendale Avenue
Suite A
Wilson
NC 27893-4678

Ph: (252) 237-1225
360 Wellness & Nutrition, Pa
1704 Glendale Dr Sw
Wilson
NC 27893-4678

Ph: (252) 237-1225

NPI Details:

NPI Number1316603285
Provider Enumeration Date11/15/2021
Last Update Date04/13/2023

Medicare PECOS Information:

Medicare PECOS PAC ID1254722366
Medicare Enrollment IDO20211228002429

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Medical Identifiers

Medical identifiers for 360 Wellness & Nutrition, Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316603285NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. 360 Wellness & Nutrition, Pa acts as a billing entity for following providers:
Provider NameAna A Khoune
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982665246
PECOS PAC ID: 7810898442
Enrollment ID: I20040116000756

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Provider NameThomas Eugene Hooper
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1598726812
PECOS PAC ID: 5597891572
Enrollment ID: I20100329001067

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Family Medicine in Wilson, NC

Natalie A. Doyle, M. D., P. A.
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 2806b Wooten Blvd, Wilson, NC 27893
Phone: 252-291-8523    Fax: 252-291-9110
Mdfamily Medical Group, Pa
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2801 Fieldstream Dr N, Wilson, NC 27896
Phone: 704-527-6322    
Wilson Dermatology Clinic Pa
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2874 Ward Blvd, Wilson, NC 27893
Phone: 252-291-5600    Fax: 252-291-6935
Eastern Internal Medicine Pa
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 2635 Tilghman Rd N, Wilson, NC 27896
Phone: 252-991-2067    Fax: 252-991-2068
Wilson Community Health Center
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 303 Green St E, Wilson, NC 27893
Phone: 252-243-9800    Fax: 252-243-9888
Wilson Family Practice Ctr
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 4008 Nc Hwy. 42 W., Wilson, NC 27893
Phone: 252-291-2215    Fax: 252-237-2281
Eastern North Carolina Medical Group, Pllc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1812 Glendale Dr Sw, Suite B, Wilson, NC 27893
Phone: 252-291-3100    Fax: 252-243-0599

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