| Mr Shaun David Smith, PA-C | |
|
4755 Ogletown-stanton Rd, Newark, DE 19718-0001 | |
| (302) 733-1000 | |
| Not Available |
| Full Name | Mr Shaun David Smith |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Surgical |
| Location | 4755 Ogletown-stanton Rd, Newark, Delaware |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316166085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | C5-0000451 (Delaware) | Primary |
| Entity Name | Christiana Care Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770568107 PECOS PAC ID: 9739097569 Enrollment ID: O20031201000477 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Shaun David Smith, PA-C 1403 N Adams St, Wilmington, DE 19806-3207 Ph: Not Available | Mr Shaun David Smith, PA-C 4755 Ogletown-stanton Rd, Newark, DE 19718-0001 Ph: (302) 733-1000 |
Alicia Renee Edelblute, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4755 Ogletown Stanton Rd, Newark, DE 19718 Phone: 610-406-7662 |
Gabriella Lynn Zaccone, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4745 Ogletown Stanton Rd, Newark, DE 19713 Phone: 302-744-9645 |
Michaela T. Riordan, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4755 Ogletown Stanton Rd Fl 3, Newark, DE 19718 Phone: 302-733-3475 Fax: 302-325-3496 |
Mrs. Cristina L. Bonilla-cooke, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Hygeia Dr, Newark, DE 19713 Phone: 302-273-1701 Fax: 302-273-4497 |
Mr. John Patrick Ranonis Jr., PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4735 Ogletown Stanton Rd, Map Ii, Ste 2121, Newark, DE 19713 Phone: 302-733-4500 |
Leia Lavoie Collins, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4735 Ogletown- Stanton Rd Map 2 Suite 1208, Newark, DE 19713 Phone: 302-623-4055 |
Christine M. Koenigbauer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4755 Ogletown Stanton Rd, Micu, 3rd Floor, Rm 3e46, Newark, DE 19718 Phone: 302-733-3475 |