Connectdcare Family Practice | |
888 S State St Dover DE 19901-4148 | |
(302) 744-8438 | |
(302) 744-8425 |
Full Name | Connectdcare Family Practice |
---|---|
Speciality | Family Medicine |
Location | 888 S State St, Dover, Delaware |
Authorized Official Name and Position | Kemi F Ogunwusi (FAMILY NURSE PRACTITIONER) |
Authorized Official Contact | 3023875198 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Connectdcare Family Practice 888 S State St Dover DE 19901-4148 Ph: (302) 744-8438 | Connectdcare Family Practice 888 S State St Dover DE 19901-4148 Ph: (302) 744-8438 |
NPI Number | 1851052468 |
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Provider Enumeration Date | 01/05/2022 |
Last Update Date | 07/19/2024 |
Medicare PECOS PAC ID | 4981071792 |
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Medicare Enrollment ID | O20221108002942 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851052468 | NPI | - | NPPES |
250735442 | Medicaid | DE | |
250699628 | Medicaid | DE | |
250699611 | Medicaid | DE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Kemi F Ogunwusi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275116584 PECOS PAC ID: 8224405048 Enrollment ID: I20221109000439 |
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