Fenwick Medical Center Pa is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Fenwick Island, Delaware. The current practice location for Fenwick Medical Center Pa is 1400 Coastal Hwy, Fenwick Island, Delaware. For appointments, you can reach them via phone at
(302) 581-0458. The mailing address for Fenwick Medical Center Pa is 12036 S Piney Point Rd, Bishopville, Maryland and phone number is (410) 430-5154.
Fenwick Medical Center Pa is licensed to practice in Delaware (license number C10001802). The clinic also participates in the medicare program and its
NPI number is 1396780664. 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
(302) 581-0458.
Primary Care Clinic Profile
Full Name | Fenwick Medical Center Pa |
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Speciality | Clinic/Center |
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Location | 1400 Coastal Hwy, Fenwick Island, Delaware |
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Authorized Official Name and Position | Nicholas N. Borodulia (DOCTOR/EMPLOYER) |
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Authorized Official Contact | 3025392399 |
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Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Fenwick Medical Center Pa 12036 S Piney Point Rd Bishopville MD 21813-1542 Ph: (410) 430-5154 | Fenwick Medical Center Pa 1400 Coastal Hwy Fenwick Island DE 19944 Ph: (302) 581-0458 |
NPI Details:
NPI Number | 1396780664 |
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Provider Enumeration Date | 06/19/2006 |
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Last Update Date | 12/04/2023 |
Medicare PECOS Information:
Medicare PECOS PAC ID | 1355348889 |
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Medicare Enrollment ID | O20061026000117 |
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Medical Identifiers
Medical identifiers for Fenwick Medical Center Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396780664 | NPI | - | NPPES |
DG9614 | Other | DE | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
261QP2300X | Clinic/center - Primary Care | C10001802 (Delaware) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Fenwick Medical Center Pa acts as a billing entity for following providers:
Provider Name | Nicholas N Borodulia |
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Provider Type | Practitioner - Family Practice |
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Provider Identifiers | NPI Number: 1225004294 PECOS PAC ID: 6608873138 Enrollment ID: I20061026000181 |
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