Southbridge Medical Advisory Council Inc

PAC ID

8426967928The PECOS associate control ID: one enrolled organization, which may hold several NPIs

Provider type

Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice

Enrolled in

DE

Enrollments

3

Group size

9 cliniciansAs Care Compare reports it

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice locations

4In 2 places

Enrollment records 3

These NPI records belong to the same enrolled organization. Each has its own page.

• Southbridge Medical Advisory Council Inc

  • Federally Qualified Health Center (FQHC)
  • Wilmington, DE
  • NPI 1770699621
• Southbridge Medical Advisory Council, Inc.

  • Federally Qualified Health Center (FQHC)
  • Claymont, DE
  • NPI 1760874549
• Southbridge Medical Advisory Council Inc

  • Federally Qualified Health Center (FQHC)
  • Wilmington, DE
  • NPI 1639417280
• Southbridge Medical Advisory Council, Inc.

  • Primary Care Clinic/Center
  • Wilmington, DE
  • NPI 1861925042

Clinicians who reassign their Medicare benefits to this group (12) or whom Care Compare lists as members (9).

• Kathleen Tigue Andersen, APN

  • Nurse Practitioner
  • Wilmington, DE
  • NPI 1114946829
• Charles G Case, M.D.

  • Family Medicine Physician
  • Wilmington, DE
  • NPI 1710901012
• Vicki Genelle Fisher, LCSW

  • Clinical Social Worker
  • Decatur, GA
  • NPI 1255752952
• Yvette Nicholson Gbemudu, M.D., M.A.

  • Family Medicine Physician
  • Wilmington, DE
  • NPI 1912006552
• Stephanie Awurama Kwabi, DNP-FNP

  • Primary Care Nurse Practitioner
  • Wilmington, DE
  • NPI 1508608068
• Monica Maldonado, NP

  • Women's Health Nurse Practitioner
  • Wilmington, DE
  • NPI 1902244411
• Mary Mbabe Nanjo-Allicock, DNP, FNP-C

  • Family Nurse Practitioner
  • New Castle, DE
  • NPI 1720621501
• Yvonne Jean Owens, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Wilmington, DE
  • NPI 1891380374
• Elizabeth Ann Poleck, D.M.D.

  • Dentist
  • New Holland, PA
  • NPI 1356630552
• Jaimie Powell, APRN, FNP

  • Family Nurse Practitioner
  • Wilmington, DE
  • NPI 1922866904
• Natasha Roach, FNP-C

  • Nurse Practitioner
  • Bel Air, MD
  • NPI 1487516712
• Reny Varghese, FNP

  • Family Nurse Practitioner
  • Wilmington, DE
  • NPI 1023655842

• 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.