Evernorth Care Providers - Delaware Pa | |
1000 N West St Ste 1200 Wilmington DE 19801-1058 | |
(773) 292-4800 | |
(312) 564-4059 |
Full Name | Evernorth Care Providers - Delaware Pa |
---|---|
Speciality | General Practice |
Location | 1000 N West St Ste 1200, Wilmington, Delaware |
Authorized Official Name and Position | Grace V Blue (CREDENTIALING SR MANAGER) |
Authorized Official Contact | 7732924800 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice 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 1000 N West St Ste 1200 Wilmington DE 19801-1058 Ph: (773) 292-4800 |
NPI Number | 1861094534 |
---|---|
Provider Enumeration Date | 11/09/2020 |
Last Update Date | 05/07/2024 |
Medicare PECOS PAC ID | 6002217973 |
---|---|
Medicare Enrollment ID | O20210629002917 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861094534 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Cecilia Shim |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1285891424 PECOS PAC ID: 4385810464 Enrollment ID: I20111221000235 |
Provider Name | Jeannie Higgin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104960012 PECOS PAC ID: 3678850120 Enrollment ID: I20170510001288 |
Provider Name | Catherine Asem |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275805335 PECOS PAC ID: 1456675784 Enrollment ID: I20180423001879 |
Provider Name | Deborah Shepard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043205628 PECOS PAC ID: 9436116829 Enrollment ID: I20180731000634 |
Provider Name | Ruby Uwaeme |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649617465 PECOS PAC ID: 9436477288 Enrollment ID: I20191015002121 |
Provider Name | Adeola Babarinde |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790062420 PECOS PAC ID: 6709052889 Enrollment ID: I20191016001778 |
Provider Name | Myrtis Agen-davis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386899961 PECOS PAC ID: 8527248491 Enrollment ID: I20191016003147 |
Provider Name | Markia P Carolina |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801228374 PECOS PAC ID: 7719121102 Enrollment ID: I20200420001635 |
Provider Name | Jadyn Amber Shea |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801369442 PECOS PAC ID: 6103166046 Enrollment ID: I20210521000057 |
Provider Name | Oluwatobi Menawonu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891142774 PECOS PAC ID: 0941588628 Enrollment ID: I20231206000979 |
Provider Name | Breana Dunn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902592124 PECOS PAC ID: 5698124162 Enrollment ID: I20231208001703 |
Provider Name | Sylvia Wairimu Karanja |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417678186 PECOS PAC ID: 1153766290 Enrollment ID: I20240228004692 |
Provider Name | Mandy Weitsz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922715093 PECOS PAC ID: 2961863246 Enrollment ID: I20240712000988 |
Lindo Family Health & Wellness Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5309 Limestone Rd B, Wilmington, DE 19808 Phone: 302-604-3448 | |
Seth D Torregiani Do, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1 Righter Pkwy Ste 150, Wilmington, DE 19803 Phone: 302-559-0641 Fax: 302-406-2668 | |
Caring Minds Medical Center Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5235 W Woodmill Dr, Suite 46, Wilmington, DE 19808 Phone: 267-243-9102 Fax: 215-743-0717 | |
Rediclinic Of De, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1718 Marsh Rd, Wilmington, DE 19810 Phone: 713-335-1754 Fax: 713-358-4870 | |
First State Medical Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3521 Silverside Rd, Quillen Building Suite 2d1, Wilmington, DE 19810 Phone: 302-479-0555 Fax: 302-479-5006 |