Hockessin Family Medicine Llc | |
724 Yorklyn Rd Ste 125 Hockessin DE 19707-8731 | |
(302) 239-6200 | |
(302) 239-6238 |
Full Name | Hockessin Family Medicine Llc |
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Speciality | Family Medicine |
Location | 724 Yorklyn Rd, Hockessin, Delaware |
Authorized Official Name and Position | Mark William Wingel (MEMBER) |
Authorized Official Contact | 3022396200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hockessin Family Medicine Llc 724 Yorklyn Rd Ste 125 Hockessin DE 19707-8731 Ph: (302) 239-6200 | Hockessin Family Medicine Llc 724 Yorklyn Rd Ste 125 Hockessin DE 19707-8731 Ph: (302) 239-6200 |
NPI Number | 1205931326 |
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Provider Enumeration Date | 09/13/2006 |
Last Update Date | 01/11/2012 |
Medicare PECOS PAC ID | 4587616503 |
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Medicare Enrollment ID | O20050217000385 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205931326 | NPI | - | NPPES |
080061743 | Other | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Deborah Ann Wingel |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417946211 PECOS PAC ID: 1951390004 Enrollment ID: I20100928001433 |
Provider Name | Mark W Wingel |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619966413 PECOS PAC ID: 4385696301 Enrollment ID: I20100928001474 |
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