Mrs Mica Rae Goehner, FNP | |
Coastal Care Dermatology, Llc, 28467 Dupont Blvd Unit 6 Sussex Professional Ctr, Millsboro, DE 19966 | |
(302) 542-4999 | |
(302) 448-1222 |
Full Name | Mrs Mica Rae Goehner |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | Coastal Care Dermatology, Llc, Millsboro, Delaware |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538744230 | NPI | - | NPPES |
LG-001594 | Other | DE | DE FNP LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | LG-0011594 (Delaware) | Primary |
Entity Name | Peninsula Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316198062 PECOS PAC ID: 7416019765 Enrollment ID: O20081219000268 |
Mailing Address | Practice Location Address |
---|---|
Mrs Mica Rae Goehner, FNP 28467 Dupont Blvd, Unit 6, Millsboro, DE 19966 Ph: (302) 542-4999 | Mrs Mica Rae Goehner, FNP Coastal Care Dermatology, Llc, 28467 Dupont Blvd Unit 6 Sussex Professional Ctr, Millsboro, DE 19966 Ph: (302) 542-4999 |
Alexandra Mae Mcdermott, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 30265 Commerce Dr Unit 206, Millsboro, DE 19966 Phone: 302-732-8400 | |
Mrs. Martha J Lins, APN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 E Dupont Hwy, Millsboro, DE 19966 Phone: 302-297-0397 Fax: 302-297-0396 | |
Silvia Ann Leake, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26002 John J Williams Hwy, Millsboro, DE 19966 Phone: 302-947-4200 | |
Mrs. Nancy A. Townsend O'day, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 28467 Dupont Blvd Coastal Care & Dermatology, Unit 6, Millsboro, DE 19966 Phone: 302-542-4999 Fax: 304-448-1222 | |
Obed Randall, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 29787 John J Williams Highway, Unit #8, Millsboro, DE 19966 Phone: 800-818-8680 Fax: 866-229-0237 | |
Mrs. Ivy Elizabeth Thompson, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26744 John J. Williams Hwy, Suite 3, Millsboro, DE 19966 Phone: 302-945-0440 Fax: 302-945-0442 | |
Lisa A Hohl, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 30265 Commerce Dr Unit 206, Millsboro, DE 19966 Phone: 302-732-8400 Fax: 302-934-6705 |