Mary Dickerson, CRNP | |
30207 Frankford School Rd, Frankford, DE 19945-2616 | |
(302) 732-3800 | |
(302) 732-6016 |
Full Name | Mary Dickerson |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 30207 Frankford School Rd, Frankford, Delaware |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689005225 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WS0200X | Registered Nurse - School | L-10023320 (Delaware) | Secondary |
363LF0000X | Nurse Practitioner - Family | AC003935 (Maryland) | Primary |
Entity Name | Privia Care Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164874426 PECOS PAC ID: 3274801139 Enrollment ID: O20170619000055 |
Mailing Address | Practice Location Address |
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Mary Dickerson, CRNP 30207 Frankford School Rd, Frankford, DE 19945-2616 Ph: (302) 732-3800 | Mary Dickerson, CRNP 30207 Frankford School Rd, Frankford, DE 19945-2616 Ph: (302) 732-3800 |
Jeffrey Allen Stevens Jr., Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 32171 Gum Rd, Frankford, DE 19945 Phone: 302-519-6824 | |
Mrs. Marsha L Shull, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 34314 Pyle Center Rd, Frankford, DE 19945 Phone: 302-732-9512 | |
Kimberly Crockett Brasure, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 35998 Zion Church Rd Unit 1, Frankford, DE 19945 Phone: 302-278-0093 Fax: 302-278-0096 |