| Mary Dickerson, CRNP | |
|
30207 Frankford School Rd, Frankford, DE 19945-2616 | |
| (302) 732-3800 | |
| (302) 732-6016 |
| Full Name | Mary Dickerson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 30207 Frankford School Rd, Frankford, Delaware |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689005225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WS0200X | Registered Nurse - School | L-10023320 (Delaware) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AC003935 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Dickerson, CRNP 30207 Frankford School Rd, Frankford, DE 19945-2616 Ph: (302) 732-3800 | Mary Dickerson, CRNP 30207 Frankford School Rd, Frankford, DE 19945-2616 Ph: (302) 732-3800 |
Jeffrey Allen Stevens Jr., Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 32171 Gum Rd, Frankford, DE 19945 Phone: 302-519-6824 | |
Mrs. Marsha L Shull, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 34314 Pyle Center Rd, Frankford, DE 19945 Phone: 302-732-9512 | |
Kimberly Crockett Brasure, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 35998 Zion Church Rd Unit 1, Frankford, DE 19945 Phone: 302-278-0093 Fax: 302-278-0096 |