Bethany Medical Care | |
11 Fox Hall Dover DE 19904-2620 | |
(302) 359-8795 | |
Not Available |
Full Name | Bethany Medical Care |
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Speciality | Family Medicine |
Location | 11 Fox Hall, Dover, Delaware |
Authorized Official Name and Position | Bogonko Achenchi (OWNER) |
Authorized Official Contact | 3023598795 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Bethany Medical Care 11 Fox Hall Dover DE 19904-2620 Ph: (302) 359-8795 | Bethany Medical Care 11 Fox Hall Dover DE 19904-2620 Ph: (302) 359-8795 |
NPI Number | 1922796499 |
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Provider Enumeration Date | 04/24/2023 |
Last Update Date | 04/24/2023 |
Medicare PECOS PAC ID | 9537518113 |
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Medicare Enrollment ID | O20231207002073 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922796499 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Bogonko Achenchi |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437817624 PECOS PAC ID: 1355735028 Enrollment ID: I20220222001811 |
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