Victoria Atchison, PAC

Individual provider Active NPI Physician Assistant · Newark, DE

NPI 1851801351 · NPPES record last updated Dec 26, 2017

Key facts

NPI
1851801351
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
C5-0001188 (DE)
Practice address
4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone
(516) 404-9504
NPI assigned
Oct 10, 2017
Sex
Female
Sole proprietor
Yes

Organizations & group practices 29

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 29

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christiana Care Health Services Inc (1,480 clinicians)
Medical Faculty Associates, Inc (676 clinicians)

Practice addresses (Care Compare)

200 Hygeia Dr
Newark, DE 19713-2049

4755 Ogletown Stanton Rd
Newark, DE 19718-2200

900 23Rd St NW
Washington, DC 20037-2342
Phone (202) 715-4000

Hospital & facility affiliations

  • George Washington Univ Hospital Hospital · Washington, DC · CCN 090001
  • Christiana Hospital Hospital · Newark, DE · CCN 080001

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in DE, DC
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20180118002660 DE Practitioner - Physician Assistant 7911266945 Reassigns benefits to 1 organization
I20220315001879 DC Practitioner - Physician Assistant 7911266945 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services Inc Current
since Nov 28, 2017
Accepting new patients
Christiana Care Health Services, Inc Single Specialty Current
since Nov 28, 2017
Accepting new patients
Christiana Care Health Services, Inc Single Specialty Past Accepting new patients

Locations

4745 Ogletown Stanton Rd
Ste 217
Newark, DE 19713
Phone (302) 733-2374

200 Hygeia Dr
Ste 2300
Newark, DE 19713
Phone (302) 623-7362

4755 Ogletown Stanton Rd
Ste 6E88
Newark, DE 19718
Phone (302) 733-4186

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

200 Hygeia Dr
Newark, DE 19713
Phone (302) 273-1701

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant
Group: 193400000X SINGLE SPECIALTY GROUP
363AM0700X
Physician Assistant 363A00000X C5-0001188 DE Yes

Addresses

Primary practice location

4755 Ogletown Stanton Rd
Newark, DE 19718-2200

Mailing address

200 Hygeia Drive
Suite 2300
Newark, DE 19713-2049
Phone (516) 404-9504

Other providers in Newark, DE

All providers in Newark, DE · Physician Assistant in Delaware

Sources for this page

Verify at the official NPI Registry.