| Nanticoke Gastroenterology, P.a. | |
|
924 Middleford Rd Seaford DE 19973-3604 | |
| (302) 629-2229 | |
| (302) 629-2285 |
| Full Name | Nanticoke Gastroenterology, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 924 Middleford Rd, Seaford, Delaware |
| Authorized Official Name and Position | Bradley Paul Mackler (C.E.O.) |
| Authorized Official Contact | 3026292229 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nanticoke Gastroenterology, P.a. 924 Middleford Rd Seaford DE 19973-3604 Ph: (302) 629-2229 | Nanticoke Gastroenterology, P.a. 924 Middleford Rd Seaford DE 19973-3604 Ph: (302) 629-2229 |
| NPI Number | 1649311325 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 03/14/2012 |
| Medicare PECOS PAC ID | 9739157033 |
|---|---|
| Medicare Enrollment ID | O20040923001152 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649311325 | NPI | - | NPPES |
| 1939 | Other | DE | COVENTRY |
| 0000825302 | Medicaid | DE | |
| 421862 | Other | DE | OPT CHOICE |
| 0916029 00 | Other | MD | MARYLAND MEDICAID |
| 100010338 | Other | DE | MEDICARE RAILROAD |
| 2714 | Other | DE | CAREFIRST |
| 421862 | Other | DE | MDIPA |
| 505182 | Other | DE | AETNA |
| T266 | Other | DE | BLUECROSS |
| 085567809 | Other | DE | CHAMPUS |
| PAL58270210001 | Other | DE | CIGNA HEALTHCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | C10004336 (Delaware) | Primary |
| Provider Name | Bradley Paul Mackler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356430854 PECOS PAC ID: 4789588302 Enrollment ID: I20031124000820 |
Jiloca Dejesus Jiloca Mdpa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 A Front Street, Seaford, DE 19973 Phone: 302-629-4569 Fax: 302-628-4669 | |
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