| Ivira Care Compass | |
|
2500 W 4th St Ste 1a Wilmington DE 19805-3367 | |
| (302) 274-0020 | |
| Not Available |
| Full Name | Ivira Care Compass |
|---|---|
| Speciality | General Practice |
| Location | 2500 W 4th St Ste 1a, Wilmington, Delaware |
| Authorized Official Name and Position | Jay C Patel (DIRECTOR) |
| Authorized Official Contact | 3022740020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivira Care Compass Po Box 30153 Wilmington DE 19805-7153 Ph: (302) 274-0020 | Ivira Care Compass 2500 W 4th St Ste 1a Wilmington DE 19805-3367 Ph: (302) 274-0020 |
| NPI Number | 1811544174 |
|---|---|
| Provider Enumeration Date | 08/21/2019 |
| Last Update Date | 11/25/2022 |
| Medicare PECOS PAC ID | 3375875438 |
|---|---|
| Medicare Enrollment ID | O20191023001687 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811544174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Mayda Melendez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760491807 PECOS PAC ID: 4880781772 Enrollment ID: I20071024000245 |
| Provider Name | Avaniben A Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316403991 PECOS PAC ID: 8123360849 Enrollment ID: I20210528001329 |
| Provider Name | Tamara Lee Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497413223 PECOS PAC ID: 8123462710 Enrollment ID: I20240222002006 |
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