| 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 |
| Certification Date | 12/04/2022 |
| Medicare PECOS PAC ID | 6204225766 |
|---|---|
| Medicare Enrollment ID | O20211123000475 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174021992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Secondary |
| 363LF0000X | Nurse Practitioner - Family | () | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | () | Primary |
| Provider Name | Hallie Katrina Dennison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568852358 PECOS PAC ID: 5890015317 Enrollment ID: I20160426001371 |
Middletown Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 212 Carter Dr Ste A, Middletown, DE 19709 Phone: 302-378-4407 |
First State Orthopaedics PA Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 601 Tower Ln Ste 201, Middletown, DE 19709 Phone: 302-731-2888 |
Parsley Medical Group De PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 221 N Broad St Ste 3a, Middletown, DE 19709 Phone: 833-447-2775 |
Affinity Wellness & Consultants Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5350 Summit Bridge Rd Ste 107, Middletown, DE 19709 Phone: 302-803-2797 |
Nemours Children's Health, Middletown Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Cleaver Farms Rd Ste 201, Middletown, DE 19709 Phone: 302-378-5100 |
Suncoast Medical Group LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 221 N Broad St Ste 3a, Middletown, DE 19709 Phone: 321-253-5197 Fax: 321-253-5199 |