Andrew Willet (NPI# 1922062884, PAC ID# 9830108315) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1922062884 |
| PAC ID by PECOS | 9830108315 |
| Professional Enrollment ID | I20080828000177 |
| Full Name | Andrew Willet |
| Organization Legal Name | SOUTHSIDE FAMILY PRACTICE, P.A. |
| Address |
230 Beiser Blvd Suite 200 Dover DE 19904-7792 |
| Phone Number | 3027351880 |
| Gender | M |
| Medical School | JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY |
| Graduation Year | 1983 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0446224737 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 080004 | BAYHEALTH HOSPITAL, KENT CAMPUS |
| 080009 | BAYHEALTH - MILFORD MEMORIAL HOSPITAL |
| 080001 | CHRISTIANA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 230 Beiser Blvd, Suite 200, Dover, DE 19904-7792 | 3027351880 | SOUTHSIDE FAMILY PRACTICE, P.A. |
| Organization Legal Name | SOUTHSIDE FAMILY PRACTICE, P.A. |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian Horn | Family Medicine | Southside Family Practice, P.a. | 230 Beiser Blvd, Suite 200, Dover, DE 19904-7792 |
| Allison N Ford | Physician Assistant | Southside Family Practice, P.a. | 230 Beiser Blvd, Suite 200, Dover, DE 19904-7792 |
| Street Address |
230 BEISER BLVD SUITE 200 |
| City | DOVER |
| State | DE |
| Zip | 19904-7792 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard L Read | Physical Therapy | W James Downs Jr Pt Pa | 230 Beiser Blvd, Suite 100, Dover, DE 19904-7791 |
| Brian Horn | Family Medicine | Southside Family Practice, P.a. | 230 Beiser Blvd, Suite 200, Dover, DE 19904-7792 |
| Eric T Schwartz | Orthopedic Surgery | 230 Beiser Blvd, Suite 100, Dover, DE 19904-7791 | |
| Allison N Ford | Physician Assistant | Southside Family Practice, P.a. | 230 Beiser Blvd, Suite 200, Dover, DE 19904-7792 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zahid Aslam | Obstetrics/gynecology | Amna Medical Center, LLC | 1095 S Bradford St, Dover, DE 19904-1095 |
| Kirill Alekseyev | Physical Medicine and Rehabilitation | Pam Physician Enterprise | 1240 Mckee Rd, Dover, DE 19904-1381 |
| Elaine D Smith | Occupational Therapy | Select Rehabilitation LLC | 1175 Mckee Rd, Dover, DE 19904-2268 |
| Wilbur Belen | Physical Therapy | Select Rehabilitation LLC | 1175 Mckee Rd, Dover, DE 19904-2268 |
| Kathleen S White | Qualified Speech Language Pathologist | Select Rehabilitation LLC | 1175 Mckee Rd, Dover, DE 19904-2268 |
| Prasantha K Gopinatha Pillai | Physical Therapy | Select Rehabilitation LLC | 1175 Mckee Rd, Dover, DE 19904-2268 |
| Alicia M Rojas | Occupational Therapy | Select Rehabilitation LLC | 1175 Mckee Rd, Dover, DE 19904-2268 |
| Lynn A Dietrich | Occupational Therapy | Select Rehabilitation LLC | 1175 Mckee Rd, Dover, DE 19904-2268 |
| Peter B Appel | Psychologist, Clinical | Appel and Wilson, LLC | 24 Hiawatha Ln, Dover, DE 19904-2401 |
| Mary Elizabeth Vaughn Moor | Psychologist, Clinical | Appel and Wilson, LLC | 24 Hiawatha Ln, Dover, DE 19904-2401 |
| Find all physicians in zip 19904 | |||
| City | DOVER |
| Zip Code | 19904 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | DOVER + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Andrew Willet.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.