| Ivx Health Of Delaware, P.a. | |
|
362 Buckley Mill Rd Wilmington DE 19807-3035 | |
| (302) 596-8610 | |
| Not Available |
| Full Name | Ivx Health Of Delaware, P.a. |
|---|---|
| Speciality | Clinic/Center |
| Location | 362 Buckley Mill Rd, Wilmington, Delaware |
| Authorized Official Name and Position | William Seibels (CFO) |
| Authorized Official Contact | 6156103727 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivx Health Of Delaware, P.a. 214 Centerview Dr Ste 250 Brentwood TN 37027-3248 Ph: (615) 610-3646 | Ivx Health Of Delaware, P.a. 362 Buckley Mill Rd Wilmington DE 19807-3035 Ph: (302) 596-8610 |
| NPI Number | 1053013177 |
|---|---|
| Provider Enumeration Date | 03/21/2023 |
| Last Update Date | 03/21/2023 |
| Medicare PECOS PAC ID | 5395101364 |
|---|---|
| Medicare Enrollment ID | O20230517000963 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053013177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Lynda A Zeeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124763016 PECOS PAC ID: 2668837873 Enrollment ID: I20230421002584 |
| Provider Name | Stephen Andrew Lasher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538188826 PECOS PAC ID: 9638183585 Enrollment ID: I20230517001096 |
| Provider Name | Kristina Renee Borcky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194405837 PECOS PAC ID: 7517320641 Enrollment ID: I20230823000134 |
| Provider Name | Caitlin Mary Trainor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376064253 PECOS PAC ID: 2668743592 Enrollment ID: I20230908001313 |
| Provider Name | Danielle Kent Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578196457 PECOS PAC ID: 5698196038 Enrollment ID: I20231023003091 |
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