Delaware Primary Care Llc | |
810 New Burton Rd Suite 3 Dover DE 19904-5451 | |
(302) 730-0554 | |
(302) 730-1175 |
Full Name | Delaware Primary Care Llc |
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Speciality | Internal Medicine |
Location | 810 New Burton Rd, Dover, Delaware |
Authorized Official Name and Position | Alisha T Patrickcooks (BILLING DEPARTMENT) |
Authorized Official Contact | 3027300554 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Delaware Primary Care Llc 810 New Burton Rd Suite 3 Dover DE 19904-5451 Ph: (302) 730-0554 | Delaware Primary Care Llc 810 New Burton Rd Suite 3 Dover DE 19904-5451 Ph: (302) 730-0554 |
NPI Number | 1104852300 |
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Provider Enumeration Date | 06/23/2006 |
Last Update Date | 10/27/2010 |
Medicare PECOS PAC ID | 3870503469 |
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Medicare Enrollment ID | O20060426000846 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104852300 | NPI | - | NPPES |
CK3544 | Other | DE | PALMETTO GBA |
0001165602 | Medicaid | DE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | C10005391 (Delaware) | Secondary |
207R00000X | Internal Medicine | C10005294 (Delaware) | Primary |
Provider Name | Sandeep S Mann |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1891776761 PECOS PAC ID: 9638362338 Enrollment ID: I20101026000244 |
Provider Name | Abimbola O Osunkoya |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1285615146 PECOS PAC ID: 8123038718 Enrollment ID: I20120221000314 |
Provider Name | Theodore Conrad Tan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1003046624 PECOS PAC ID: 4880843390 Enrollment ID: I20120927000038 |
Provider Name | Lisa Anne Leonard |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861871238 PECOS PAC ID: 5193029106 Enrollment ID: I20160212000078 |
Provider Name | Louis Crevecoeur |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1609127893 PECOS PAC ID: 3274808134 Enrollment ID: I20171004000237 |
Provider Name | Hardi Patel |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558972398 PECOS PAC ID: 4284054206 Enrollment ID: I20201013002469 |
Middletown Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 417 Federal St, Dover, DE 19901 Phone: 302-744-4849 Fax: 302-739-6627 | |
Northeast Family Planning Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 417 Federal St, Dover, DE 19901 Phone: 302-744-4548 Fax: 302-739-1613 | |
Kent Epsdt Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 417 Federal St, Dover, DE 19901 Phone: 302-744-4548 Fax: 302-739-1613 | |
Natwarlal V Ramani Md Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 742 S Governors Ave, Suite 3, Dover, DE 19904 Phone: 302-678-5008 Fax: 302-678-5505 | |
Lee Dennis, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 960 Forest St, Dover, DE 19904 Phone: 302-735-1888 | |
Dph Seaford Family Planning Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 417 Federal St, Dover, DE 19901 Phone: 302-744-4548 Fax: 302-739-1613 | |
Cdw South Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 417 Federal St, Dover, DE 19901 Phone: 302-744-4548 Fax: 302-739-1613 |