The Life Center Complex, Inc
A Medicare group practice based in Wilmington, DE: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 6800038076), with 8 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 6800038076
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- DE
- Enrollments
- 1
- Group size
- 3 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 6
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20130819000252 | DE | Part B Supplier - Clinic/Group Practice | 1770808578 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
The Life Center Complex, Inc
- Community Health Clinic/Center
- Wilmington, DE
- NPI 1770808578
-
The Life Center Complex, Inc
dba Life Health @ Stubbs
- Student Health Clinic/Center
- Wilmington, DE
- NPI 1366114522
-
The Life Center Complex, Inc.
dba Life Health @ Towne Point
- Student Health Clinic/Center
- Dover, DE
- NPI 1609590538
Practice locations
- Wilmington, DE5
- Dover, DE1
Clinicians 8
Clinicians who reassign their Medicare benefits to this group (8) or whom Care Compare lists as members (3).
-
Cynthia Afia Abrefa-Kodom
- Family Nurse Practitioner
- Georgetown, DE
- NPI 1649975624
-
Ngozi Theresa Chiekwu, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Wilmington, DE
- NPI 1427396373
-
Norwood James Coleman Jr., LCSW
- Clinical Social Worker
- Newark, DE
- NPI 1861721987
-
Herman Martin Ellis, MD
- Addiction Medicine (Preventive Medicine) Physician
- Newark, DE
- NPI 1386768612
-
Mwazhuwa Leonard Ray Kuretu, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Lewes, DE
- NPI 1881633220
-
Shariyfa Aziyza Polite, LCSW
- Clinical Social Worker
- Raleigh, NC
- NPI 1205144060
-
Florienda A. Scott-Cobb, LCSW
- Clinical Social Worker
- New Castle, DE
- NPI 1942420914
-
Carolyn Rena Smith
- Family Nurse Practitioner
- Wilmington, DE
- NPI 1023893393
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.