Lifespan Medical Services Llc - Medicare Primary Care in Dover, DE

Lifespan Medical Services Llc is a medicare enrolled primary clinic (Internal Medicine - Geriatric Medicine) in Dover, Delaware. The current practice location for Lifespan Medical Services Llc is 1125 Forrest Ave, Dover, Delaware. For appointments, you can reach them via phone at (302) 346-0100. The mailing address for Lifespan Medical Services Llc is 1125 Forrest Ave, Dover, Delaware and phone number is (302) 346-0100.

Lifespan Medical Services Llc is licensed to practice in Delaware (license number C1-0005962). The clinic also participates in the medicare program and its NPI number is 1427131382. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (302) 346-0100.

Contact Information

Lifespan Medical Services Llc
1125 Forrest Ave
Dover
DE 19904-3483
(302) 346-0100
(302) 346-0103

Primary Care Clinic Profile

Full NameLifespan Medical Services Llc
SpecialityInternal Medicine
Location1125 Forrest Ave, Dover, Delaware
Authorized Official Name and PositionHarsha Tankala (OWNER/PRESIDENT)
Authorized Official Contact3026780950
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lifespan Medical Services Llc
1125 Forrest Ave
Dover
DE 19904-3483

Ph: (302) 346-0100
Lifespan Medical Services Llc
1125 Forrest Ave
Dover
DE 19904-3483

Ph: (302) 346-0100

NPI Details:

NPI Number1427131382
Provider Enumeration Date10/23/2006
Last Update Date06/21/2018

Medicare PECOS Information:

Medicare PECOS PAC ID0143323493
Medicare Enrollment IDO20070307000376

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Medical Identifiers

Medical identifiers for Lifespan Medical Services Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427131382NPI-NPPES
1000041898MedicaidDE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0300XInternal Medicine - Geriatric Medicine C1-0005962 (Delaware)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Lifespan Medical Services Llc acts as a billing entity for following providers:
Provider NameHarsha Tankala
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1164441242
PECOS PAC ID: 7416900675
Enrollment ID: I20050228000686

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Provider NameClaudia Pierce
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770847402
PECOS PAC ID: 8022265297
Enrollment ID: I20140424001335

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Provider NameCandace E Finch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891334231
PECOS PAC ID: 4183045818
Enrollment ID: I20200604000444

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Provider NameKaitlin Marie Fielder
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962001180
PECOS PAC ID: 1658787171
Enrollment ID: I20210309000571

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Provider NameErin P Beaudry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083859383
PECOS PAC ID: 0143369371
Enrollment ID: I20230515000134

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› Verified 5 days ago

News Archive

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› Verified 5 days ago


Internal Medicine in Dover, DE

Middletown Wellness Center
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 417 Federal St, Dover, DE 19901
Phone: 302-744-4849    Fax: 302-739-6627
Northeast Family Planning
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 417 Federal St, Dover, DE 19901
Phone: 302-744-4548    Fax: 302-739-1613
Kent Epsdt
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 417 Federal St, Dover, DE 19901
Phone: 302-744-4548    Fax: 302-739-1613
Natwarlal V Ramani Md
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 742 S Governors Ave, Suite 3, Dover, DE 19904
Phone: 302-678-5008    Fax: 302-678-5505
Lee Dennis, M.d.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 960 Forest St, Dover, DE 19904
Phone: 302-735-1888    
Dph Seaford Family Planning
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 417 Federal St, Dover, DE 19901
Phone: 302-744-4548    Fax: 302-739-1613
Cdw South
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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