| Evernorth Care Providers - Delaware Pa | |
|
1000 N West St Ste 1200 Wilmington DE 19801-1058 | |
| (773) 292-4800 | |
| (312) 564-4059 |
| Full Name | Evernorth Care Providers - Delaware Pa |
|---|---|
| Speciality | General Practice |
| Location | 1000 N West St Ste 1200, Wilmington, Delaware |
| Authorized Official Name and Position | Grace V Blue (CREDENTIALING SR MANAGER) |
| Authorized Official Contact | 7732924800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evernorth Care Providers - Delaware Pa 730 Cool Springs Blvd Ste 500 Franklin TN 37067-7331 Ph: (773) 292-4800 | Evernorth Care Providers - Delaware Pa 1000 N West St Ste 1200 Wilmington DE 19801-1058 Ph: (773) 292-4800 |
| NPI Number | 1861094534 |
|---|---|
| Provider Enumeration Date | 11/09/2020 |
| Last Update Date | 05/07/2024 |
| Medicare PECOS PAC ID | 6002217973 |
|---|---|
| Medicare Enrollment ID | O20210629002917 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861094534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Cecilia Shim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285891424 PECOS PAC ID: 4385810464 Enrollment ID: I20111221000235 |
| Provider Name | Jeannie Higgin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104960012 PECOS PAC ID: 3678850120 Enrollment ID: I20170510001288 |
| Provider Name | Catherine Asem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275805335 PECOS PAC ID: 1456675784 Enrollment ID: I20180423001879 |
| Provider Name | Ruby Uwaeme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649617465 PECOS PAC ID: 9436477288 Enrollment ID: I20191015002121 |
| Provider Name | Adeola Babarinde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790062420 PECOS PAC ID: 6709052889 Enrollment ID: I20191016001778 |
| Provider Name | Myrtis Agen-davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386899961 PECOS PAC ID: 8527248491 Enrollment ID: I20191016003147 |
| Provider Name | Erin Moen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285824987 PECOS PAC ID: 9537449079 Enrollment ID: I20250305000558 |
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