Wellspace Primary Care PLLC
NPI 1104647817ActiveOrganization· Family Medicine· Wellesley, MA
Family Medicine in Wellesley, Massachusetts, registered in NPPES in October 2024. The authorized official on file is Michael David Dick, DO, Family Medicine Physician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1104647817 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 24, 2024 |
| Last updated in NPPES | Feb 13, 2025 |
| Certified by provider | Feb 13, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MA) |
|---|
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