Evernorth Care Providers - Delaware Pa - Medicare Primary Care in Philadelphia, PA

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Evernorth Care Providers - Delaware Pa is a medicare enrolled primary clinic (General Practice) in Philadelphia, Pennsylvania. The current practice location for Evernorth Care Providers - Delaware Pa is 100 N 18th Street, Suite 300, Philadelphia, Pennsylvania. For appointments, you can reach them via phone at (773) 292-4800. The mailing address for Evernorth Care Providers - Delaware Pa is 730 Cool Springs Blvd Ste 500, Franklin, Tennessee and phone number is (773) 292-4800.

Evernorth Care Providers - Delaware Pa is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1457138182. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (773) 292-4800.

Contact Information

Evernorth Care Providers - Delaware Pa
100 N 18th Street
Suite 300
Philadelphia
PA 19103
(773) 292-4800
(312) 564-4059

Map and Direction


Primary Care Clinic Profile

Full NameEvernorth Care Providers - Delaware Pa
SpecialityGeneral Practice
Location100 N 18th Street, Philadelphia, Pennsylvania
Authorized Official Name and PositionGrace V Blue (CREDENTIALING SR. MANAGER)
Authorized Official Contact7732924800
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Evernorth Care Providers - Delaware Pa
730 Cool Springs Blvd Ste 500
Franklin
TN 37067-7331

Ph: (773) 292-4800		Evernorth Care Providers - Delaware Pa
100 N 18th Street
Suite 300
Philadelphia
PA 19103

Ph: (773) 292-4800

NPI Details:

NPI Number1457138182
Provider Enumeration Date09/14/2023
Last Update Date09/14/2023

Medicare PECOS Information:

Medicare PECOS PAC ID6002217973
Medicare Enrollment IDO20231211002305

Medical Identifiers

Medical identifiers for Evernorth Care Providers - Delaware Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457138182NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Evernorth Care Providers - Delaware Pa acts as a billing entity for following providers:
Provider NameBridget Walker
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1932268802
PECOS PAC ID: 2264415181
Enrollment ID: I20040611000188
Provider NameDeborah Ann Swider
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1770573883
PECOS PAC ID: 4385623073
Enrollment ID: I20040716000045
Provider NameKaren A Giammanco
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437846292
PECOS PAC ID: 9931140100
Enrollment ID: I20050518000360
Provider NameMary Eileen Mcsorley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023150570
PECOS PAC ID: 4385677475
Enrollment ID: I20050919000470
Provider NameMegan Ann Ruehr
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275846917
PECOS PAC ID: 6103008487
Enrollment ID: I20110308000442
Provider NameCheryl Hilton
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1184677742
PECOS PAC ID: 4082683651
Enrollment ID: I20110816000383
Provider NameJeanine D Bucek
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841575206
PECOS PAC ID: 9032385760
Enrollment ID: I20111230000445
Provider NameShannon Alsop
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1003043803
PECOS PAC ID: 7517121742
Enrollment ID: I20120619000380
Provider NameMarc A Pimsleur
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1598961864
PECOS PAC ID: 6800043191
Enrollment ID: I20120821000653
Provider NameIrina Uritsky
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235410465
PECOS PAC ID: 2365679743
Enrollment ID: I20131210000424
Provider NameCatherine M Fisher
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972919124
PECOS PAC ID: 4385863570
Enrollment ID: I20140922000678
Provider NameEdward Jelesiewicz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922400852
PECOS PAC ID: 3173745494
Enrollment ID: I20141120001507
Provider NameAnzhela Kogan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871865899
PECOS PAC ID: 4688991912
Enrollment ID: I20150326000834
Provider NameCecilia Shim
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1285891424
PECOS PAC ID: 4385810464
Enrollment ID: I20160816000102
Provider NameMisun Park Sim
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639589047
PECOS PAC ID: 3476848318
Enrollment ID: I20160817000898
Provider NameBabatunde Adenusi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750748729
PECOS PAC ID: 9436444312
Enrollment ID: I20160817002217
Provider NameOluwatobi Menawonu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891142774
PECOS PAC ID: 0941588628
Enrollment ID: I20161101000059
Provider NameErin Lacey Moen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285824987
PECOS PAC ID: 9537449079
Enrollment ID: I20161129002125
Provider NameAnn Marie T Storbrauck
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417142514
PECOS PAC ID: 4880974187
Enrollment ID: I20161202000574
Provider NameStacey Hewitt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053856005
PECOS PAC ID: 1658653407
Enrollment ID: I20170131001541
Provider NameMaureen P Mclaughlin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891205324
PECOS PAC ID: 2466719844
Enrollment ID: I20171121001092
Provider NameAleena Haeseon Chang
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811403231
PECOS PAC ID: 5799030938
Enrollment ID: I20180612002344
Provider NameDehcontee Guar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730654278
PECOS PAC ID: 2163766031
Enrollment ID: I20181204000335
Provider NameAnnette M Redguard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659720290
PECOS PAC ID: 9739428178
Enrollment ID: I20190304000555
Provider NameDeborah Ann Stallworth
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417311226
PECOS PAC ID: 8224337563
Enrollment ID: I20191024000701
Provider NameDenise Shank
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811219520
PECOS PAC ID: 1052746039
Enrollment ID: I20200122000290
Provider NameColleen Curran
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174081491
PECOS PAC ID: 3274960463
Enrollment ID: I20200228000343
Provider NameRobbin Demuth
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336774504
PECOS PAC ID: 0648682138
Enrollment ID: I20201209000848
Provider NameAdetutu Aina
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710317680
PECOS PAC ID: 8820317829
Enrollment ID: I20201229000033
Provider NameEsther Andreessen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275037087
PECOS PAC ID: 0648675629
Enrollment ID: I20210830001990
Provider NameDeborah Shepard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043205628
PECOS PAC ID: 9436116829
Enrollment ID: I20211007002716
Provider NameAndrea Cristina Bozak
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225604911
PECOS PAC ID: 2466842653
Enrollment ID: I20211202000004
Provider NameWanda Faye Cacho
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184296121
PECOS PAC ID: 5991024002
Enrollment ID: I20220321000291
Provider NameArgine Pierre
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992465736
PECOS PAC ID: 9931594330
Enrollment ID: I20220322001799
Provider NameSarah Mcmanness
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740886399
PECOS PAC ID: 0446637326
Enrollment ID: I20220514000245
Provider NameJessica Suzanne Hicks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821675158
PECOS PAC ID: 5395145593
Enrollment ID: I20221014000309
Provider NameNina Jasiulewicz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396460671
PECOS PAC ID: 1355713090
Enrollment ID: I20230207001417
Provider NameDiamond Quick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952013641
PECOS PAC ID: 8224400460
Enrollment ID: I20230215003137
Provider NameDana Horton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538738026
PECOS PAC ID: 1557735628
Enrollment ID: I20230314000464
Provider NameKettia Delisfort
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790481596
PECOS PAC ID: 0345608048
Enrollment ID: I20230627002238
Provider NameSandra D Crummy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376266759
PECOS PAC ID: 6709245301
Enrollment ID: I20230629002074
Provider NameArthur Khachaturyan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548970809
PECOS PAC ID: 9436281987
Enrollment ID: I20230706000024
Provider NameRuby Uwaeme
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649617465
PECOS PAC ID: 9436477288
Enrollment ID: I20231026002086
Provider NameAdebola Onanuga
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881373843
PECOS PAC ID: 5092164590
Enrollment ID: I20231208002857
Provider NameDebra Budge-brennan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821477092
PECOS PAC ID: 1759730880
Enrollment ID: I20231214000185
Provider NameRadha Patel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679262000
PECOS PAC ID: 7416308093
Enrollment ID: I20240108005178
Provider NameAnna Antonova
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730962952
PECOS PAC ID: 8628421419
Enrollment ID: I20240129001216
Provider NameLarena Robinson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801577457
PECOS PAC ID: 7618311598
Enrollment ID: I20240219003270
Provider NameCharlie Kroelinger
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538697784
PECOS PAC ID: 6204105810
Enrollment ID: I20240405001522
Provider NameStacy Rohr
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396410163
PECOS PAC ID: 8426455569
Enrollment ID: I20240520001746
Provider NameChirag Shah
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1043274772
PECOS PAC ID: 8921902651
Enrollment ID: I20240522001004
Provider NameRugiatu Kailie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164284121
PECOS PAC ID: 7618319559
Enrollment ID: I20240523003360
Provider NameDonna Mckinnon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437653425
PECOS PAC ID: 2062760754
Enrollment ID: I20240806000601
Provider NameDora Tirado
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740846211
PECOS PAC ID: 3870929599
Enrollment ID: I20241011001969
Provider NameIsuan Iriabho
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548809239
PECOS PAC ID: 6800227406
Enrollment ID: I20241111000864

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.