| Central Delaware Family Medicine | |
|
1001 S Bradford St Ste. 4 Dover DE 19904-4153 | |
| (302) 735-1616 | |
| (302) 735-1616 |
| Full Name | Central Delaware Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 1001 S Bradford St, Dover, Delaware |
| Authorized Official Name and Position | Rebecca L Gazze-mcilroy (PRESIDENT) |
| Authorized Official Contact | 3027351616 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Delaware Family Medicine 1001 S Bradford St Ste. 4 Dover DE 19904-4153 Ph: (302) 735-1616 | Central Delaware Family Medicine 1001 S Bradford St Ste. 4 Dover DE 19904-4153 Ph: (302) 735-1616 |
| NPI Number | 1043755176 |
|---|---|
| Provider Enumeration Date | 12/28/2016 |
| Last Update Date | 04/24/2017 |
| Medicare PECOS PAC ID | 0345525945 |
|---|---|
| Medicare Enrollment ID | O20170322001574 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043755176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kimberlie A Neal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588631741 PECOS PAC ID: 2860485935 Enrollment ID: I20040405001499 |
| Provider Name | Rebecca L Gazze-mcilroy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972550424 PECOS PAC ID: 8820191596 Enrollment ID: I20070319000066 |
| Provider Name | Tiffany R Tullis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538418918 PECOS PAC ID: 2769632041 Enrollment ID: I20121023000043 |
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State Of Delaware Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 417 Federal St, Dover, DE 19901 Phone: 302-744-4849 Fax: 302-739-6627 | |
State Of Delaware Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 417 Federal St, Dover, DE 19901 Phone: 302-744-4548 Fax: 302-739-1613 | |
State Of Delaware Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 417 Federal St, Dover, DE 19901 Phone: 302-744-4548 Fax: 302-739-1613 | |
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Lee Dennis, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 960 Forest St, Dover, DE 19904 Phone: 302-735-1888 | |
State Of Delaware Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 417 Federal St, Dover, DE 19901 Phone: 302-744-4548 Fax: 302-739-1613 |