United Medical Wellness Complex, Llc - Medicare Primary Care in Ridgeland, MS

United Medical Wellness Complex, Llc is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Ridgeland, Mississippi. The current practice location for United Medical Wellness Complex, Llc is 892 Centre St, Ridgeland, Mississippi. For appointments, you can reach them via phone at (769) 251-2098. The mailing address for United Medical Wellness Complex, Llc is 892 Centre St, Ridgeland, Mississippi and phone number is (769) 567-1304.

United Medical Wellness Complex, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1255045324. 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 (769) 251-2098.

Contact Information

United Medical Wellness Complex, Llc
892 Centre St
Ridgeland
MS 39157-4509
(769) 251-2098
(800) 394-6187

Primary Care Clinic Profile

Full NameUnited Medical Wellness Complex, Llc
SpecialityClinic/Center
Location892 Centre St, Ridgeland, Mississippi
Authorized Official Name and PositionKevin Taft Wright (CHIEF EXECUTIVE OFFICER)
Authorized Official Contact6019404195
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
United Medical Wellness Complex, Llc
892 Centre St
Ridgeland
MS 39157-4509

Ph: (769) 567-1304
United Medical Wellness Complex, Llc
892 Centre St
Ridgeland
MS 39157-4509

Ph: (769) 251-2098

NPI Details:

NPI Number1255045324
Provider Enumeration Date01/12/2023
Last Update Date10/24/2023

Medicare PECOS Information:

Medicare PECOS PAC ID5092171710
Medicare Enrollment IDO20230522002529

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Medical Identifiers

Medical identifiers for United Medical Wellness Complex, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255045324NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM1300XClinic/center - Multi-specialty (* (Not Available))Primary
405300000XPrevention Professional (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. United Medical Wellness Complex, Llc acts as a billing entity for following providers:
Provider NameAmanda B Greene
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083040562
PECOS PAC ID: 0547277980
Enrollment ID: I20140617002012

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