| Advanced Care Basic, Llc | |
|
3 Emerson Ct Middletown DE 19709-1646 | |
| (215) 586-1393 | |
| (302) 378-3697 |
| Full Name | Advanced Care Basic, Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 3 Emerson Ct, Middletown, Delaware |
| Authorized Official Name and Position | Hallie K Dennison (NURSE PRACTITIONER) |
| Authorized Official Contact | 2155861393 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Care Basic, Llc 3 Emerson Ct Middletown DE 19709-1646 Ph: (215) 586-1393 | Advanced Care Basic, Llc 3 Emerson Ct Middletown DE 19709-1646 Ph: (215) 586-1393 |
| NPI Number | 1174021992 |
|---|---|
| Provider Enumeration Date | 01/26/2018 |
| Last Update Date | 12/04/2022 |
| Medicare PECOS PAC ID | 6204225766 |
|---|---|
| Medicare Enrollment ID | O20211123000475 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174021992 | NPI | - | NPPES |
| Provider Name | Hallie Katrina Dennison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568852358 PECOS PAC ID: 5890015317 Enrollment ID: I20160426001371 |
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