| Grace Pesikey Inc. | |
|
19639 Plantations Rd. Rehoboth Beach DE 19971-9999 | |
| (302) 381-6648 | |
| Not Available |
| Full Name | Grace Pesikey Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 19639 Plantations Rd., Rehoboth Beach, Delaware |
| Authorized Official Name and Position | Grace A. Pesikey (SOLE PROPRIETOR) |
| Authorized Official Contact | 3023816648 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Pesikey Inc. 32140 Oak Drive Lewes DE 19958-3663 Ph: (302) 381-6648 | Grace Pesikey Inc. 19639 Plantations Rd. Rehoboth Beach DE 19971-9999 Ph: (302) 381-6648 |
| NPI Number | 1891183547 |
|---|---|
| Provider Enumeration Date | 01/05/2015 |
| Last Update Date | 01/05/2015 |
| Medicare PECOS PAC ID | 0143548537 |
|---|---|
| Medicare Enrollment ID | O20150630000893 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891183547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | Q1-0000149 (Delaware) | Primary |
| Provider Name | Grace A Pesikey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902972920 PECOS PAC ID: 0941367486 Enrollment ID: I20090327000014 |
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