| Mr Mark Kenneth Ryan, CRNP MSN | |
|
30549 Sussex Hwy, Laurel, DE 19956-3891 | |
| (302) 715-5214 | |
| (302) 628-6855 |
| Full Name | Mr Mark Kenneth Ryan |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 24 Years |
| Location | 30549 Sussex Hwy, Laurel, 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 |
|---|---|---|---|
| 1669447637 | NPI | - | NPPES |
| 403638700 | Medicaid | MD |
| 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 |
|---|---|
| Mr Mark Kenneth Ryan, CRNP MSN 30549 Sussex Hwy, Laurel, DE 19956-3891 Ph: (302) 715-5214 | Mr Mark Kenneth Ryan, CRNP MSN 30549 Sussex Hwy, Laurel, DE 19956-3891 Ph: (302) 715-5214 |
Pamela Morris Fleckenstein, MSN, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 30668 Sussex Hwy, Laurel, DE 19956 Phone: 302-875-6550 Fax: 302-875-3130 | |
Janice James-webb, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 28440 Carroll Taylor Dr, Laurel, DE 19956 Phone: 410-215-8201 | |
Mrs. Donna Gail Hitchens, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 30549 Sussex Hwy, Laurel, DE 19956 Phone: 302-875-2127 | |
Kristi Rebecca Nichols, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 30549 Sussex Hwy, Laurel, DE 19956 Phone: 302-715-5214 |