| Sam Kidane, | |
|
314 E Main St Ste 103, Newark, DE 19711-7180 | |
| (302) 366-0550 | |
| Not Available |
| Full Name | Sam Kidane |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 314 E Main St Ste 103, Newark, 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 |
|---|---|---|---|
| 1497412399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0024188207 (Virginia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | LG-0011831 (Delaware) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Manbir Takhar Pc | 0749206951 | 35 |
| Virginia Urgent Care Llc | 2062572456 | 27 |
| Tru Health Group Pc | 6406216183 | 28 |
| Manbir Takhar Pc | 0749206951 | 35 |
| Tru Health Group Pc | 6406216183 | 28 |
| Entity Name | Virginia Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487838652 PECOS PAC ID: 2062572456 Enrollment ID: O20081114000363 |
| Entity Name | Medical Access Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144291204 PECOS PAC ID: 9335405844 Enrollment ID: O20171115002420 |
| Entity Name | Manbir Takhar, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457322505 PECOS PAC ID: 0749206951 Enrollment ID: O20171116002712 |
| Entity Name | Tru Health Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194471946 PECOS PAC ID: 6406216183 Enrollment ID: O20230712004006 |
| Mailing Address | Practice Location Address |
|---|---|
| Sam Kidane, 3830 Green St, Claymont, DE 19703-2054 Ph: (302) 299-5161 | Sam Kidane, 314 E Main St Ste 103, Newark, DE 19711-7180 Ph: (302) 366-0550 |
Amy Wallig Parosky, MSN, RNC, NNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 4755 Ogletown-stanton Rd, Room 2410, Newark, DE 19718 Phone: 302-733-2359 Fax: 302-733-5168 | |
Kathy Elaine Gallagher, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4735 Ogletown-stanton Rd, Map2, Ste 3301, Newark, DE 19713 Phone: 302-623-4370 Fax: 302-623-4375 | |
Adeyoyin R Esaka, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4755 Ogletown Stanton Rd, Room E1070 Center For Heart & Vascular Health At Christ, Newark, DE 19718 Phone: 302-623-1929 Fax: 302-733-4533 | |
Muriel P Jurasevich, CRNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 4755 Ogletown Stanton Rd, Newark, DE 19718 Phone: 302-733-1000 | |
Karen M Smith, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4765 Ogletown Stanton Rd, Suite 1e20, Newark, DE 19713 Phone: 302-733-5700 Fax: 302-733-5775 | |
Mrs. Michelle Denise Septer, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4755 Ogletown Stanton Rd, Newark, DE 19718 Phone: 302-733-4621 Fax: 302-733-4287 | |
Susan Eileen Petrillo, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4755 Ogletown Stanton Rd, 3d38, Newark, DE 19718 Phone: 302-733-5628 Fax: 302-733-3887 |