| Dayamed Pa | |
|
1000 N West St Ste 1200 Wilmington DE 19801-1058 | |
| (800) 931-5883 | |
| Not Available |
| Full Name | Dayamed Pa |
|---|---|
| Speciality | General Practice |
| Location | 1000 N West St Ste 1200, Wilmington, Delaware |
| Authorized Official Name and Position | Meredith Knapp (VP CLINICAL OPERATIONS) |
| Authorized Official Contact | 7755024536 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dayamed Pa 1000 N West St Ste 1200 Wilmington DE 19801-1058 Ph: () - | Dayamed Pa 1000 N West St Ste 1200 Wilmington DE 19801-1058 Ph: (800) 931-5883 |
| NPI Number | 1356077044 |
|---|---|
| Provider Enumeration Date | 07/26/2022 |
| Last Update Date | 03/25/2024 |
| Medicare PECOS PAC ID | 9638554959 |
|---|---|
| Medicare Enrollment ID | O20220921004060 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356077044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 261QM2500X | Clinic/center - Medical Specialty | (* (Not Available)) | Secondary |
| Provider Name | Lisa Bolgar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811540677 PECOS PAC ID: 3779815691 Enrollment ID: I20220107000763 |
| Provider Name | Michelle K Daya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790120343 PECOS PAC ID: 4981820123 Enrollment ID: I20231119000016 |
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