Jeremy Legates, PMHNP-BC | |
1305 Mcd Dr, Dover, DE 19901-4699 | |
(302) 883-2926 | |
(302) 883-3799 |
Full Name | Jeremy Legates |
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Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 1305 Mcd Dr, Dover, Delaware |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073089801 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | L1-0054237 (Delaware) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | L8-0010461 (Delaware) | Primary |
Entity Name | The Mind And Body Consortium, Llc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316186539 PECOS PAC ID: 9739234014 Enrollment ID: O20090910000340 |
Mailing Address | Practice Location Address |
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Jeremy Legates, PMHNP-BC 302 Woodsedge Ln, Felton, DE 19943-9542 Ph: (443) 710-2139 | Jeremy Legates, PMHNP-BC 1305 Mcd Dr, Dover, DE 19901-4699 Ph: (302) 883-2926 |
Jonelle Murph, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 642 South Queen Street, Ste 102, Dover, DE 19904 Phone: 800-818-8680 Fax: 866-229-0237 | |
Abigail Kozhuharov, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 640 S State St, Dover, DE 19901 Phone: 302-674-4700 | |
Mrs. Angela Erin Knotts, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1673 S State St Ste B, Dover, DE 19901 Phone: 855-527-7246 Fax: 866-229-5063 | |
Michelle L Leite, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Banning St Ste 270, Dover, DE 19904 Phone: 302-674-1999 | |
Lisa Anne Wullschleger, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 805 River Rd, Kent County Public Health Family Planning, Dover, DE 19901 Phone: 302-739-4728 Fax: 302-739-7735 | |
Linda Ann Ashley, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 260 Beiser Blvd Ste 201, Dover, DE 19904 Phone: 302-678-7438 Fax: 302-678-7434 | |
Mrs. Matilda Korkor Decker, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9 E Loockerman St Ste 204, Dover, DE 19901 Phone: 302-666-9806 |