| Candice Roberts, | |
|
18229 Dupont Blvd, Georgetown, DE 19947-3127 | |
| (302) 514-7246 | |
| (302) 253-8028 |
| Full Name | Candice Roberts |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 18229 Dupont Blvd, Georgetown, Delaware |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851700686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | LG-0000773 (Delaware) | Primary |
| 208VP0000X | Pain Medicine - Pain Medicine | LG-0000773 (Delaware) | Secondary |
| Entity Name | Sussex Pain Relief Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578886180 PECOS PAC ID: 8325171887 Enrollment ID: O20100804000421 |
| Entity Name | Choice Pain & Rehabilitation Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568809598 PECOS PAC ID: 1850534645 Enrollment ID: O20210929002440 |
| Mailing Address | Practice Location Address |
|---|---|
| Candice Roberts, 18229 Dupont Blvd, Georgetown, DE 19947-3127 Ph: (302) 514-7246 | Candice Roberts, 18229 Dupont Blvd, Georgetown, DE 19947-3127 Ph: (302) 514-7246 |
Cierra Parker, MSN, APRN-PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18229 Dupont Blvd, Georgetown, DE 19947 Phone: 302-236-0653 | |
Ms. Mimi Joye Hilderley, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20930 Dupont Blvd Unit 202, Georgetown, DE 19947 Phone: 302-202-3438 | |
Tracy L Dysard, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20930 Dupont Blvd Unit 202, Georgetown, DE 19947 Phone: 302-202-3438 | |
Mrs. Jeanette M Grant, DNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21444 Carmean Way, Georgetown, DE 19947 Phone: 302-855-1233 Fax: 302-855-2025 | |
Ms. Amber L Sharp, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Lee Ave Unit 103, Georgetown, DE 19947 Phone: 302-856-4092 | |
Jessica W Baxter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 503 W Market St, Georgetown, DE 19947 Phone: 302-856-7099 | |
Melissa Galloway, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20930 Dupont Blvd, Georgetown, DE 19947 Phone: 302-856-3737 Fax: 302-856-7337 |