| Cchs Geriatrics | |
|
1901 N Market St Suite 200 Wilmington DE 19802-4812 | |
| (302) 421-2700 | |
| (302) 421-2705 |
| Full Name | Cchs Geriatrics |
|---|---|
| Speciality | Family Medicine |
| Location | 1901 N Market St, Wilmington, Delaware |
| Authorized Official Name and Position | Robert W Mcmurray (CFO) |
| Authorized Official Contact | 3024282522 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cchs Geriatrics 200 Hygeia Dr Suite 2502 Physician Contracting Christiana Care Health Newark DE 19713-2049 Ph: (302) 623-7362 | Cchs Geriatrics 1901 N Market St Suite 200 Wilmington DE 19802-4812 Ph: (302) 421-2700 |
| NPI Number | 1659578425 |
|---|---|
| Provider Enumeration Date | 06/27/2007 |
| Last Update Date | 12/17/2021 |
| Medicare PECOS PAC ID | 9739097569 |
|---|---|
| Medicare Enrollment ID | O20151221000220 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659578425 | NPI | - | NPPES |
| 1659578425 | Medicaid | DE |
| Provider Name | Carolyn O Ianni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427156769 PECOS PAC ID: 3173561198 Enrollment ID: I20050420000988 |
| Provider Name | Michelle K Ritona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720183411 PECOS PAC ID: 7214967553 Enrollment ID: I20050817000112 |
| Provider Name | Ina I. Li |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437146180 PECOS PAC ID: 2668476490 Enrollment ID: I20061102000314 |
| Provider Name | Amy S Blake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013978535 PECOS PAC ID: 4082795521 Enrollment ID: I20080122000738 |
| Provider Name | Melissa D Morgan-gouveia |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1023278694 PECOS PAC ID: 0941456305 Enrollment ID: I20130812000515 |
| Provider Name | James Ellison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144226630 PECOS PAC ID: 4789649161 Enrollment ID: I20150922001183 |
| Provider Name | Lynsey E Brandt |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1790848331 PECOS PAC ID: 8224106679 Enrollment ID: I20151207000481 |
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