| Justin Allen, PA-C | |
|
100 Rawlins Dr, Seaford, DE 19973-5881 | |
| (302) 990-3280 | |
| (302) 990-3290 |
| Full Name | Justin Allen |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 100 Rawlins Dr, Seaford, Delaware |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598312076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | C5-0001338 (Delaware) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tidalhealth Nanticoke, Inc. | Seaford, DE | Hospital |
| Tidalhealth Peninsula Regional, Inc | Salisbury, MD | Hospital |
| Beebe Medical Center | Lewes, DE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tidalhealth Physician Network, Inc. | 7315901253 | 115 |
| Tidalhealth Specialty Care Llc | 7113340845 | 375 |
| Entity Name | Tidalhealth Physician Network, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467534636 PECOS PAC ID: 7315901253 Enrollment ID: O20041119000090 |
| Entity Name | Bayhealth Medical Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1023006434 PECOS PAC ID: 1658364740 Enrollment ID: O20160527000094 |
| Entity Name | Bayhealth Emergency Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073012696 PECOS PAC ID: 7719240696 Enrollment ID: O20180405000978 |
| Entity Name | Bayhealth Medical Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679072144 PECOS PAC ID: 1658364740 Enrollment ID: O20180411000470 |
| Entity Name | Tidalhealth Specialty Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619504735 PECOS PAC ID: 7113340845 Enrollment ID: O20210113000690 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Allen, PA-C Po Box 824327, Philadelphia, PA 19182-4327 Ph: Not Available | Justin Allen, PA-C 100 Rawlins Dr, Seaford, DE 19973-5881 Ph: (302) 990-3280 |
Beth Ann Rossi, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 8468 Herring Run Rd, Seaford, DE 19973 Phone: 302-629-3400 Fax: 302-629-5300 |
Michael Scott Bush, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 801 Middleford Rd, Seaford, DE 19973 Phone: 302-629-6611 |
Courtney Mishler, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 715 E King St # A, Seaford, DE 19973 Phone: 302-628-3000 |
Ms. Julie Ann Carson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 24459 Sussex Hwy, Seaford, DE 19973 Phone: 302-629-3099 Fax: 302-629-6059 |
Mrs. Kelly Potter Parks, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 121 S Front St, Seaford, DE 19973 Phone: 302-629-5030 Fax: 302-629-5035 |
Robert Henry, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 24459 Sussex Hwy, Seaford, DE 19973 Phone: 302-629-3099 Fax: 302-629-6059 |
Lemuel Pierre, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1350 Middleford Rd Ste 501, Seaford, DE 19973 Phone: 302-444-0190 |