Kevin D Bristowe, MD | |
424 Savannah Rd, Lewes, DE 19958 | |
(302) 645-3296 | |
(302) 645-3862 |
Full Name | Kevin D Bristowe |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 424 Savannah Rd, Lewes, Delaware |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962481804 | NPI | - | NPPES |
0000882401 | Medicaid | DE | |
000882401 | Medicaid | DE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | C10005371 (Delaware) | Primary |
Entity Name | Sussex Emergency Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275512105 PECOS PAC ID: 4183516065 Enrollment ID: O20040325001664 |
Mailing Address | Practice Location Address |
---|---|
Kevin D Bristowe, MD Po Box 3012, Wilmington, DE 19804 Ph: (302) 224-5678 | Kevin D Bristowe, MD 424 Savannah Rd, Lewes, DE 19958 Ph: (302) 645-3296 |
Dr. Douglas B Allen Jr., DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 424 Savannah Rd, Lewes, DE 19958 Phone: 302-645-3554 Fax: 302-645-3862 | |
Dr. John J Dillon, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 424 Savannah Rd, Lewes, DE 19958 Phone: 302-654-3554 | |
Claude L Lavallee, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 424 Savannah Rd, Lewes, DE 19958 Phone: 302-645-3296 Fax: 302-645-3862 | |
Steven R Stelts, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 424 Savannah Road, Lewes, DE 19958 Phone: 302-645-3296 Fax: 302-645-3862 | |
Dr. Ali Mohammed, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 424 Savannah Rd, Lewes, DE 19958 Phone: 302-645-3554 | |
Jacqueline A Smith, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 424 Savannah Rd, Lewes, DE 19958 Phone: 302-645-3554 | |
Philemon Parker Bailey, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 424 Savannah Rd, Lewes, DE 19958 Phone: 302-645-3296 Fax: 302-645-3862 |