Laurel Medical Group, Llc | |
1124 S Central Ave Laurel DE 19956-1418 | |
(302) 875-7753 | |
Not Available |
Full Name | Laurel Medical Group, Llc |
---|---|
Speciality | Internal Medicine |
Location | 1124 S Central Ave, Laurel, Delaware |
Authorized Official Name and Position | Antonio Pedro (CO-OWNER) |
Authorized Official Contact | 3028757753 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Laurel Medical Group, Llc 66 Rivers End Dr Seaford DE 19973-8011 Ph: (302) 628-3018 | Laurel Medical Group, Llc 1124 S Central Ave Laurel DE 19956-1418 Ph: (302) 875-7753 |
NPI Number | 1477640696 |
---|---|
Provider Enumeration Date | 10/09/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 1153386081 |
---|---|
Medicare Enrollment ID | O20041119000810 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477640696 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | C1-0005393 (Delaware) | Primary |
207RN0300X | Internal Medicine - Nephrology | C1-0004999 (Delaware) | Primary |
Provider Name | Antonio A Pedro |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1922192434 PECOS PAC ID: 7618932542 Enrollment ID: I20041119000798 |
Provider Name | Odilon Y Claravall |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1093800401 PECOS PAC ID: 8921186198 Enrollment ID: I20101108000627 |
Laurel Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30668 Sussex Hwy, Laurel Family Medicine, Laurel, DE 19956 Phone: 302-875-6550 Fax: 302-875-6573 | |
Curtis A. Smith, D.o. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 314 S Central Ave, Laurel, DE 19956 Phone: 302-875-6800 Fax: 302-875-6803 | |
Rossakatum Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 E Front St Ste C, Laurel, DE 19956 Phone: 302-629-0586 |