1649869678 WELLCARE MEDICARE

Preferred Provider Organization

Active

Basic Information

Organization Name
WELLCARE MEDICARE
Enumeration Date
January 14, 2021
Last Update
March 17, 2022
Authorized Official
DR. JACOB CORNELIUS PARKER MD, DO
CUSTOMER SUPPORT
Phone: (601) 268-8000

Practice Location

Address
7700 FORSYTH BLVD
SAINT LOUIS, MO 631051807
Phone
(314) 725-4477

Mailing Address

Address
7700 FORSYTH BLVD
SAINT LOUIS, MO 631051807
Phone
(314) 725-4477

Specialties & Taxonomies

Specialty Code Classification License State Primary
Pain Management Registered Nurse
Pain Management
163WP0000X Registered Nurse N/A N/A No
Clinical Medical Laboratory
291U00000X Clinical Medical Laboratory N/A N/A No
Pediatric Skilled Nursing Facility
Nursing Care, Pediatric
3140N1450X Skilled Nursing Facility N/A N/A No
Mail Order Pharmacy
Mail Order Pharmacy
3336M0002X Pharmacy N/A N/A No
Preferred Provider Organization
305R00000X Preferred Provider Organization N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
12365433061 01 MO CORPORATE OFFICE
8420042213 01 MS ENVISION HEALTHCARE
8420042213 01 MS UNITED HEALTHCARE

Additional Practice Locations

5001 Hardy St
Hattiesburg, MS 394021308

Phone: (601) 268-8000

6051 U S Highway 49
Hattiesburg, MS 394017201

Phone: (601) 288-7000

Frequently Asked Questions

What is WELLCARE MEDICARE's NPI number?
WELLCARE MEDICARE's NPI number is 1649869678.
Which doctor has NPI number 1649869678?
The doctor with NPI number 1649869678 is WELLCARE MEDICARE.
What is WELLCARE MEDICARE's practice address?
WELLCARE MEDICARE's practice address is 7700 FORSYTH BLVD, SAINT LOUIS, MO, 631051807.
Which doctor practices at 7700 FORSYTH BLVD, SAINT LOUIS, MO, 631051807?
WELLCARE MEDICARE practices at 7700 FORSYTH BLVD, SAINT LOUIS, MO, 631051807.
What is WELLCARE MEDICARE's phone number?
WELLCARE MEDICARE's phone number is (314) 725-4477.
Who is (314) 725-4477?
(314) 725-4477 is the phone number for WELLCARE MEDICARE.
What is WELLCARE MEDICARE's specialty?
WELLCARE MEDICARE's specialty is Preferred Provider Organization.
What type of doctor is WELLCARE MEDICARE?
WELLCARE MEDICARE is a Preferred Provider Organization.
Is WELLCARE MEDICARE a Preferred Provider Organization?
Yes, WELLCARE MEDICARE is a Preferred Provider Organization.
Is WELLCARE MEDICARE still practicing?
Yes, WELLCARE MEDICARE is currently practicing.
Is WELLCARE MEDICARE accepting new patients?
WELLCARE MEDICARE may be accepting new patients. Please call their office at (314) 725-4477 to inquire about availability.
Is NPI 1649869678 still active?
Yes, NPI 1649869678 is currently active.
Where does WELLCARE MEDICARE practice?
WELLCARE MEDICARE practices in SAINT LOUIS, MO.