| Mackey Family Practice LLC | |
|
4512 Kirkwood Hwy Suite 205 Wilmington DE 19808 | |
| (302) 660-7302 | |
| (302) 660-7516 |
| Full Name | Mackey Family Practice LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 4512 Kirkwood Hwy Suite 205, Wilmington, Delaware |
| Authorized Official Name and Position | Jill E Mackey (OWNER) |
| Authorized Official Contact | 3026607302 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mackey Family Practice LLC 4512 Kirkwood Hwy Suite 205 Wilmington DE 19808 Ph: (302) 660-7302 | Mackey Family Practice LLC 4512 Kirkwood Hwy Suite 205 Wilmington DE 19808 Ph: (302) 660-7302 |
| NPI Number | 1578356838 |
|---|---|
| Provider Enumeration Date | 05/28/2025 |
| Last Update Date | 07/01/2025 |
| Certification Date | 07/01/2025 |
| Medicare PECOS PAC ID | 8527568369 |
|---|---|
| Medicare Enrollment ID | O20250825004399 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578356838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Jill E Mackey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578505863 PECOS PAC ID: 7911962881 Enrollment ID: I20041120000073 |
| Provider Name | Mary a High |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457350019 PECOS PAC ID: 1557430014 Enrollment ID: I20080523000223 |
| Provider Name | Katherine Victoria Kaminski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700192176 PECOS PAC ID: 9335621853 Enrollment ID: I20260304002457 |
| Provider Name | Lisa Marie Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255799615 PECOS PAC ID: 0244705036 Enrollment ID: I20260409000917 |
| Provider Name | Elizabeth Mary Kitching |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457061988 PECOS PAC ID: 9537636501 Enrollment ID: I20260427003259 |
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