| Milton Enterprises, Inc | |
|
16529 Coastal Hwy Lewes DE 19958-3605 | |
| (302) 684-2000 | |
| (302) 644-6860 |
| Full Name | Milton Enterprises, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 16529 Coastal Hwy, Lewes, Delaware |
| Authorized Official Name and Position | Charles G Wagner (PHYSICIAN/OWNER) |
| Authorized Official Contact | 3026842000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Milton Enterprises, Inc 16529 Coastal Hwy Lewes DE 19958-3605 Ph: (302) 684-2000 | Milton Enterprises, Inc 16529 Coastal Hwy Lewes DE 19958-3605 Ph: (302) 684-2000 |
| NPI Number | 1326128786 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 07/07/2014 |
| Medicare PECOS PAC ID | 2264334309 |
|---|---|
| Medicare Enrollment ID | O20040121000309 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326128786 | NPI | - | NPPES |
| 1326128786 | Other | DE | MEDICAID GROUP |
| 1992792717 | Other | DE | MEDICAID DR WAGNER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Secondary |
| Provider Name | Catherine De Luca |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548265580 PECOS PAC ID: 9931122710 Enrollment ID: I20060106000660 |
| Provider Name | Melissa E Raffaele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962727081 PECOS PAC ID: 7911199252 Enrollment ID: I20101005001215 |
| Provider Name | Jennifer Hurd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932333465 PECOS PAC ID: 7911154919 Enrollment ID: I20120827000576 |
| Provider Name | Bethanne Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568619278 PECOS PAC ID: 8224197249 Enrollment ID: I20140303001303 |
| Provider Name | Susan Rae Parks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841683331 PECOS PAC ID: 1759694706 Enrollment ID: I20150720001934 |
| Provider Name | Jennifer Willey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104217595 PECOS PAC ID: 0749588523 Enrollment ID: I20160412000149 |
| Provider Name | Jennifer Shade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730577388 PECOS PAC ID: 3678958949 Enrollment ID: I20220922002164 |
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