| Kevin Forsyth, | |
|
20930 Dupont Blvd, Georgetown, DE 19947-1725 | |
| (302) 856-3737 | |
| (302) 856-7337 |
| Full Name | Kevin Forsyth |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 20930 Dupont Blvd, Georgetown, 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 |
|---|---|---|---|
| 1598543142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | L1-0052530 (Delaware) | Secondary |
| 363L00000X | Nurse Practitioner | LG-0012483 (Delaware) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beebe Medical Center | Lewes, DE | Hospital |
| Bayhealth Hospital, Sussex Campus | Milford, DE | Hospital |
| Nanticoke Memorial Hospital | Seaford, DE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tidalhealth Physician Network, Inc. | 7315901253 | 85 |
| 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 | Georgetown Medical Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053513127 PECOS PAC ID: 8224124250 Enrollment ID: O20071022000468 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Forsyth, 20930 Dupont Blvd, Georgetown, DE 19947-1725 Ph: () - | Kevin Forsyth, 20930 Dupont Blvd, Georgetown, DE 19947-1725 Ph: (302) 856-3737 |
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 |