Regional Medical Group Llc | |
4512 Kirkwood Hwy Ste 202 Wilmington DE 19808-5123 | |
(302) 993-7890 | |
(302) 993-7894 |
Full Name | Regional Medical Group Llc |
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Speciality | Family Medicine |
Location | 4512 Kirkwood Hwy, Wilmington, Delaware |
Authorized Official Name and Position | Susan A Cassidy (ADMINISTRATOR) |
Authorized Official Contact | 3029937890 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Regional Medical Group Llc 4512 Kirkwood Hwy Ste 202 Wilmington DE 19808-5122 Ph: (302) 999-0137 | Regional Medical Group Llc 4512 Kirkwood Hwy Ste 202 Wilmington DE 19808-5123 Ph: (302) 993-7890 |
NPI Number | 1891048179 |
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Provider Enumeration Date | 10/24/2012 |
Last Update Date | 03/15/2021 |
Medicare PECOS PAC ID | 6800041237 |
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Medicare Enrollment ID | O20130308000337 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891048179 | NPI | - | NPPES |
Provider Name | Laura J Manfield |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1982720538 PECOS PAC ID: 9830243401 Enrollment ID: I20090817000242 |
Provider Name | Andra Mirela Popescu |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1952519118 PECOS PAC ID: 8527237932 Enrollment ID: I20110801000526 |
Provider Name | Carla C Miller |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992137731 PECOS PAC ID: 9436486065 Enrollment ID: I20190806000488 |
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