| Alert Mind Mental Health Services Llc | |
|
1423 Capitol Trl Ste 1110 Newark DE 19711-5709 | |
| (302) 722-4740 | |
| (302) 722-4750 |
| Full Name | Alert Mind Mental Health Services Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1423 Capitol Trl Ste 1110, Newark, Delaware |
| Authorized Official Name and Position | Marc Exilus (OWNER) |
| Authorized Official Contact | 3027224740 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alert Mind Mental Health Services Llc 1423 Capitol Trl Ste 1110 Newark DE 19711-5709 Ph: (302) 722-4740 | Alert Mind Mental Health Services Llc 1423 Capitol Trl Ste 1110 Newark DE 19711-5709 Ph: (302) 722-4740 |
| NPI Number | 1700506532 |
|---|---|
| Provider Enumeration Date | 08/31/2022 |
| Last Update Date | 03/05/2024 |
| Certification Date | 03/05/2024 |
| Medicare PECOS PAC ID | 2961940721 |
|---|---|
| Medicare Enrollment ID | O20240812004139 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700506532 | NPI | - | NPPES |
| Provider Name | Marc A Exilus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588149587 PECOS PAC ID: 9830431915 Enrollment ID: I20240812004149 |
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