Meriam Chua, M.D.
Individual provider Active NPI Psychiatry Physician · Dover, DE
NPI 1922237643 · NPPES record last updated Dec 5, 2013
Key facts
- NPI
- 1922237643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- C1-0010432 (DE)
- Practice address
- 1151 Walker Rd
Dover, DE 19904-6600 - Phone
- (302) 674-2380
- Fax
- (302) 674-1299
- NPI assigned
- Jul 2, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Mind and Body Consortium, LLC.
Practice addresses (Care Compare)
156 S State St
Dover, DE 19901-7314
Phone 302674238039
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131121000557 | DE | Practitioner - Psychiatry | 5496981458 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0010432 | DE | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Mind and Body Consortium, LLC. | Psychiatry | Current |
Accepting new patients |
Locations
1151 Walker Rd
Dover, DE 19904
Phone (302) 674-1397
156 S State St
Dover, DE 19901
Phone 30267423801218
118 Sandhill Dr
Ste 201
Middletown, DE 19709
Phone 3024499314108
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | C1-0010432 | DE | Yes |
Addresses
Primary practice location
1151 Walker Rd
Dover, DE 19904-6600
Mailing address
1151 Walker Rd
Dover, DE 19904-6600
Phone (302) 674-2380
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922237643 | Medicaid | DE |
Other providers in Dover, DE
- Christiana Care Quality Partners
- Christiana Care Quality Partners
- Chrome Med LLC
- Robert Chrzanowski
- Kathrina L Chua
- Erin Chudzik-Pryor
- Ihuoma C Chuks
- Sarah Chung
- Deborah Cielto-Busi
- Alyse M Ciliberti
All providers in Dover, DE · Psychiatry Physician in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.