| Delaware Psychiatry, Llc | |
|
5700 Kirkwood Hwy Suite 107 Wilmington DE 19808-4857 | |
| (302) 650-6739 | |
| (302) 633-5844 |
| Full Name | Delaware Psychiatry, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5700 Kirkwood Hwy, Wilmington, Delaware |
| Authorized Official Name and Position | Nana Berkashvilli (OWNER) |
| Authorized Official Contact | 3026506739 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Delaware Psychiatry, Llc 5700 Kirkwood Hwy Suite 107 Wilmington DE 19808-4857 Ph: (302) 650-6739 | Delaware Psychiatry, Llc 5700 Kirkwood Hwy Suite 107 Wilmington DE 19808-4857 Ph: (302) 650-6739 |
| NPI Number | 1275083636 |
|---|---|
| Provider Enumeration Date | 10/10/2016 |
| Last Update Date | 10/10/2016 |
| Medicare PECOS PAC ID | 1355621244 |
|---|---|
| Medicare Enrollment ID | O20161212001320 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275083636 | NPI | - | NPPES |
| 4587768718 | Other | DE | PECOS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | C1-0009293 (Delaware) | Primary |
| Provider Name | Nana Berikashvili |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831129600 PECOS PAC ID: 4587768718 Enrollment ID: I20100721000661 |
| Provider Name | Rebecca L Benson |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1124291133 PECOS PAC ID: 8820225519 Enrollment ID: I20131231000574 |
| Provider Name | Linda Joanne Olivere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487851846 PECOS PAC ID: 5799084919 Enrollment ID: I20160422000084 |
| Provider Name | Margaret M Mack |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1962618686 PECOS PAC ID: 3577821628 Enrollment ID: I20171218002941 |
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