First State Family Practice, Inc | |
222 Carter Dr Suite 101 Middletown DE 19709-5854 | |
(302) 378-5494 | |
(302) 378-1760 |
Full Name | First State Family Practice, Inc |
---|---|
Speciality | Family Medicine |
Location | 222 Carter Dr, Middletown, Delaware |
Authorized Official Name and Position | John Kehagias (PHYSICIAN/OWNER) |
Authorized Official Contact | 3023785494 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
First State Family Practice, Inc 222 Carter Dr Suite 101 Middletown DE 19709-5854 Ph: (302) 378-5494 | First State Family Practice, Inc 222 Carter Dr Suite 101 Middletown DE 19709-5854 Ph: (302) 378-5494 |
NPI Number | 1821172834 |
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Provider Enumeration Date | 10/25/2006 |
Last Update Date | 03/19/2012 |
Medicare PECOS PAC ID | 3870532435 |
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Medicare Enrollment ID | O20050503000537 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821172834 | NPI | - | NPPES |
1000021662 | Medicaid | DE | |
080195041 | Other | DE | RAILROAD MEDICARE |
2148253000 | Other | DE | AMERIHEALTH HMO |
1000021662 | Other | DE | DPCI |
1463747 | Other | DE | AMERIHEALTH PPO |
3157375 | Other | DE | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | C10006722 (Delaware) | Primary |
Provider Name | Ioannis Kehagias |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497839419 PECOS PAC ID: 5597837187 Enrollment ID: I20080626000050 |
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