Dr. Brian Caswell-Monack, DO – Family Physician | Lewes, DE

Dr. Brian Caswell-Monack, DO is a Family Physician practicing at his clinic in Lewes, DE. He is dedicated to providing high-quality, comprehensive, patient-centered family medical care. He is registered with The Delaware Board of Medical Licensure and Discipline and practices under the Delaware Code, Title 24, Chapter 17 (Medical Practice Act).

Please note: Dr. Brian Caswell-Monack is not currently accepting new patients. You may wish to check back periodically for updates or contact (302) 644-6860 to inquire about potential future openings or waitlists.

Dr. Brian Caswell-Monack focuses on providing continuous and comprehensive primary medical care for individuals and families across all ages and life stages. This includes preventative care, diagnosis and treatment of acute and chronic illnesses, and management of ongoing health needs, serving as the central point for patient care. He is committed to evidence-based medicine, patient education, and fostering collaborative physician-patient relationships. Dr. Brian Caswell-Monack provides consultations primarily in English. He looks forward to continuing to serve the Lewes community and its healthcare needs.

Dr. Brian Caswell-Monack addresses a wide range of common health concerns, including:

• Wheezing: Wheezing is a whistling or sighing sound during breathing, often indicating airway narrowing.
• Amenorrhea: Amenorrhea refers to the absence of menstruation.
• Hypertension: Hypertension, or high blood pressure, increases the risk of heart disease and stroke.
• Hypotension: Hypotension, or low blood pressure, can cause dizziness and fainting.
• Acute Pharyngitis: Acute pharyngitis, or a sore throat, is often caused by viral or bacterial infection.
• Long COVID Disorder: Long COVID encompasses a range of persistent symptoms following a coronavirus infection.
• Sarcoidosis: Sarcoidosis is a disease that causes inflammation in various organs.
• Celiac Disease: Celiac disease is an autoimmune disorder triggered by gluten consumption.
• Bladder Infection: A bladder infection, or urinary tract infection (UTI), causes pain and burning during urination.
• Administrative Physical: An administrative physical is a medical examination for administrative purposes such as employment or school.
• Hammer Toe: Hammer toe is a deformity of the toe joint.
• Asymptomatic Post-Menopausal Status: Asymptomatic post-menopausal status refers to the absence of symptoms following menopause.
• Lipid Disorders: Lipid disorders involve abnormal levels of fats in the blood.
• Carpal Tunnel Syndrome: Carpal tunnel syndrome is a condition causing numbness and tingling in the hand and fingers.

Please note: This list highlights some common health concerns that Dr. Brian Caswell-Monack addresses and is for informational purposes only; it does not constitute medical advice. The range of conditions a Family Physician manages is broad, and this list is not exhaustive. For a comprehensive understanding of how he can assist with your specific health needs or to discuss any particular symptoms you are experiencing, it's always best to schedule a consultation. Accurate diagnosis and personalized treatment plans are developed based on individual patient evaluations.

Dr. Brian Caswell-Monack offers a range of services to meet his patients' healthcare needs, such as:

• Fetal Cardiac Screening: Fetal cardiac screening helps detect potential heart problems in the developing fetus.
• Anemia and Iron Deficiency Screening: Anemia and iron deficiency screening tests for low red blood cell counts and iron levels.
• Cholesterol Screening: Cholesterol screening measures cholesterol levels to assess heart disease risk.
• Joint Fluid Test: A joint fluid test analyzes fluid from a joint to diagnose conditions like arthritis.
• Diabetes Counseling: Diabetes counseling provides education and support for managing diabetes.
• Thyroid Screening: Thyroid screening tests for thyroid hormone levels.
• Skin Screenings: Skin screenings check for skin cancer and other skin conditions.
• Abscess or Cyst Drainage or Aspiration: Abscess or cyst drainage or aspiration removes pus or fluid from an abscess or cyst.
• Hepatitis A Screening: Hepatitis A screening checks for the presence of the hepatitis A virus.
• Abscess or Fluid Incision and Drainage: Incision and drainage removes pus or fluid from an abscess.
• Osteoporosis Screening: Osteoporosis screening assesses bone density to detect osteoporosis.
• Syphilis Screening: Syphilis screening tests for the presence of syphilis bacteria.
• Genetic Screening for Breast Cancer: Genetic screening for breast cancer identifies genetic mutations that increase breast cancer risk.
• Dementia Evaluation: A dementia evaluation assesses cognitive function to diagnose dementia.

Please note: This list highlights some of the key services that may be offered by Dr. Brian Caswell-Monack. Service availability can change and not all services listed may be appropriate or offered to every patient. The scope of services can vary. For a comprehensive understanding of all available services or to discuss your specific healthcare needs, it's always best to schedule a consultation. Some specialized procedures or advanced diagnostic tests may require referral to a specialist.

All medical services are provided in accordance with the standard scope of practice for Family Physicians in Delaware and adhere to the ethical and professional guidelines set forth by The Delaware Board of Medical Licensure and Discipline.

Dr. Brian Caswell-Monack is dedicated to partnering with patients to achieve their unique health objectives. Whether it's managing common concerns or pursuing preventative wellness, he helps patients set and reach meaningful goals. The following examples illustrate how this collaborative approach with Dr. Brian Caswell-Monack can make a difference in patients' lives:

• With appropriate treatment, patients quickly find relief from the pain and discomfort of acute pharyngitis, allowing them to return to their normal routines and activities, such as work or school. They are soon able to comfortably eat and socialize again.
• With careful diet management and adherence to their treatment plan, patients with celiac disease can effectively control their symptoms and enjoy improved digestive health, allowing them to participate more fully in their favorite activities. Many find renewed energy and a better overall quality of life.
• With effective management, patients often experience a return of their menstrual cycle, alleviating anxiety and restoring a sense of normalcy to their lives. This can lead to improved overall well-being and renewed confidence in their bodies.

These scenarios are illustrative examples of how patients, with the support of Dr. Brian Caswell-Monack, can achieve positive health outcomes and resume meaningful activities. Individual results may vary and depend on many factors specific to each patient. He will work with you to define and achieve your personal health goals.

The practice is situated in a family medicine practice in the Lewes, Delaware area. It is conveniently located near key city attractions and public services in Lewes and is generally accessible via local transportation options serving Lewes. The clinic is designed to be accessible to all patients, with features to accommodate various mobility needs. Convenient patient parking is typically available nearby or on-site.

Understanding your insurance coverage is an important step in planning your healthcare with Dr. Brian Caswell-Monack. The clinic may accept a variety of insurance plans. Below is a list of some insurance networks that Dr. Brian Caswell-Monack or the clinic may be affiliated with. However, this list is subject to change and may not be exhaustive.

• Aetna
  • Plan: APCN Choice, Type: POS II
  • Plan: APCN Open Access Aetna Select
  • Plan: AWH NJ Choice MultiTier - Standard Savings
  • Plan: AWH NJ Choice MultiTier, Type: POS II
  • Plan: Aetna HMO
  • Plan: Choice Plus, Type: POS II
  • Plan: Elect Choice (Open Access), Type: EPO
  • Plan: Managed Choice (Open Access), Type: POS
  • Plan: Open Choice, Type: PPO
  • Plan: Premier Care Network Plus - Innovation Health
  • Plan: Select
  • Plan: Signature Administrators, Type: PPO
  • Plan: Small Group Maryland Elect Choice Open Access
  • Plan: Small Group Maryland, Type: HMO
• Amerihealth
  • Plan: Regional Preferred POS Plus
• Cigna
  • Plan: Cigna HMO
  • Plan: Open Access Plus
• First Health
  • Plan: First Health (Coventry Health Care), Type: PPO
• Humana
  • Plan: Choice Care Network, Type: PPO
  • Plan: Choice Care, Type: PPO
  • Plan: Choice, Type: POS
• UnitedHealthCare
  • Plan: Choice Plus, Type: POS
  • Plan: MD IPA/Optimum Choice HMO/Preferred POS HMO, Type: HMO-POS
  • Plan: Navigate Plus, Type: POS
  • Plan: Navigate, Type: HMO
  • Plan: Nexus Open Access
  • Plan: Options, Type: PPO

Important Note on Insurance Verification:

Insurance networks and accepted plans can change frequently and without prior notice. The list above, if provided, is for general guidance only and may not be completely up-to-date or cover all specific plans within a network. It is imperative that patients personally verify that Dr. Brian Caswell-Monack is currently an in-network provider for their specific insurance plan, and fully understand all coverage details (including co-pays, deductibles, co-insurance requirements, and any need for referrals or pre-authorizations for services with Dr. Brian Caswell-Monack) by contacting their insurance provider directly BEFORE scheduling an appointment. You should also confirm acceptance of your specific plan with our office at (302) 644-6860 when you call to schedule. While our staff can assist with general insurance questions, your insurance company is the definitive source for your coverage information. Understanding your benefits ahead of time helps prevent unexpected out-of-pocket expenses.

Please be aware that some services, such as certain preventative screenings not covered under your specific plan, administrative forms, or non-medically necessary procedures, may not be covered by insurance and could be your financial responsibility.

Dr. Brian Caswell-Monack may be affiliated with one or more local hospitals to ensure seamless care for patients requiring hospitalization. Affiliations can include:

• Beebe Medical Center (Lewes, DE)

He is Board Certified in Family Practice by the American Board of Family Medicine.

Here are answers to some common questions about care with Dr. Brian Caswell-Monack:

Are services from Dr. Brian Caswell-Monack typically covered by health insurance in Delaware?

Dr. Brian Caswell-Monack, as a Family Physician in Delaware, likely accepts a variety of health insurance plans, including major private insurers, Medicare, and potentially state Medicaid programs. However, patients must always verify with their specific insurance provider AND with our clinic's office prior to an appointment to confirm that Dr. Brian Caswell-Monack is 'in-network' for their plan and to understand their specific coverage details, co-pays, deductibles, co-insurance, and any referral requirements for specialist visits if applicable. Some services (e.g., most cosmetic procedures, some administrative forms, non-medically necessary visits) may not be covered by insurance and could result in out-of-pocket expenses. Please ask the clinic about policies for uninsured or self-pay patients if applicable.

Do I typically need a referral to see Dr. Brian Caswell-Monack as my Family Physician, or to see a specialist?

Generally, individuals do not need a referral from another doctor to see Dr. Brian Caswell-Monack to establish care as their Family Physician/Primary Care Physician (PCP), provided he is accepting new patients. However, to see most medical specialists (e.g., cardiologist, dermatologist), Dr. Brian Caswell-Monack will typically provide a referral after an assessment. Many insurance plans, particularly HMOs (Health Maintenance Organizations), do require a referral from your designated PCP (Dr. Brian Caswell-Monack, if so chosen) for specialist visits to be covered. PPO (Preferred Provider Organization) plans may offer more flexibility for self-referral to specialists, but this might result in higher out-of-pocket costs if the specialist is out-of-network or if a referral would have secured better coverage. Always check the referral requirements of your specific insurance plan.

What does 'preventative care' involve with a Family Physician like Dr. Brian Caswell-Monack in the US?

Preventative care provided by Dr. Brian Caswell-Monack aims to stop health issues from occurring or to catch them at an early, more manageable stage, following established US guidelines. This includes regular physical exams or wellness visits (many insurance plans cover one per year), vaccinations, screenings for common conditions like certain cancers or heart disease risk factors (high blood pressure, high cholesterol, diabetes), and personalized advice on maintaining a healthy lifestyle through diet, physical activity, and avoiding harmful habits like smoking. It’s about being proactive with your health, and Dr. Brian Caswell-Monack can help guide you in these efforts.

What is 'continuity of care' and why is it important with a Family Physician like Dr. Brian Caswell-Monack?

Continuity of care refers to the process where your Family Physician, Dr. Brian Caswell-Monack, sees you for your health needs on an ongoing basis, rather than seeing different doctors for different issues. This consistency is valuable because Dr. Brian Caswell-Monack becomes familiar with your medical background, your lifestyle, and what’s ‘normal’ for you. This knowledge aids in quicker diagnosis, more effective treatment plans, better chronic disease management, and ensures that your care is well-coordinated, especially important when dealing with multiple specialists or navigating complex insurance plans. It’s about having a trusted healthcare partner throughout your life who understands your complete health picture.

I have multiple health problems (multimorbidity). How does Dr. Brian Caswell-Monack handle complex care?

Managing multiple health conditions is a core part of what Dr. Brian Caswell-Monack does as your PCP. He will work with you to understand the full picture of your health, help manage various chronic diseases simultaneously, ensure your medications are optimized and appropriate, and coordinate with different specialists to ensure your care is not fragmented and that everyone on your healthcare team is informed. The goal is to provide integrated and patient-centered care that addresses all your needs effectively within the context of your insurance and overall healthcare access.

What should I bring with me to my appointment with Dr. Brian Caswell-Monack?

To each appointment with Dr. Brian Caswell-Monack at the clinic, please ensure you have all your current health insurance cards and a photo ID. A current, detailed list of all your medications (name, dose, frequency, prescribing doctor if not Dr. Brian Caswell-Monack) is very important. If you’re coming about a specific issue and have related reports (like X-rays, specialist letters, or recent lab results from elsewhere), please bring those along. It’s also a good idea to jot down any questions or symptoms you want to discuss with Dr. Brian Caswell-Monack beforehand so you don’t forget anything important. You may also want to check with the clinic beforehand about their payment policy for co-pays or services not covered by insurance.

How often should I see Dr. Brian Caswell-Monack for a check-up or physical exam?

The recommended frequency for check-ups, often called annual physicals or preventive wellness visits, with Dr. Brian Caswell-Monack can vary based on your age, overall health, existing medical conditions, and specific risk factors. Many insurance plans in the US cover one annual preventive visit for adults with no co-pay. Generally, healthy younger adults may still benefit from regular check-ins (e.g., every 1-3 years if no major concerns, but an annual visit is often encouraged if covered by insurance), while older adults (e.g., annually, especially for Medicare Annual Wellness Visits), or individuals with chronic conditions (diabetes, hypertension) typically require more frequent visits (e.g., every 3-6 months or annually, as determined by Dr. Brian Caswell-Monack). For specific screening tests like Pap smears, mammograms, or colonoscopies, there are established national guidelines (USPSTF, ACS, ACOG) based on age and gender which Dr. Brian Caswell-Monack follows. It’s best to discuss your individual needs with Dr. Brian Caswell-Monack to determine an appropriate schedule for your preventative care.

Can you explain common health insurance terms like co-pays, deductibles, and co-insurance?

Certainly! A co-pay (or copayment) is a fixed amount (e.g., $25 or $50) you pay for a covered healthcare service, like a doctor’s visit or a prescription, at the time of service. Your insurance plan pays the rest of the allowed amount. A deductible is the amount you must pay out-of-pocket for covered healthcare services *before* your insurance plan starts to pay its share (e.g., you might have a $1,000 annual deductible). Preventive services are often covered before meeting the deductible. Co-insurance is your share of the costs of a covered healthcare service, calculated as a percentage (e.g., 20%) of the allowed amount for the service, which you pay *after* you’ve met your deductible. For example, if the allowed amount is $100 and your co-insurance is 20%, you pay $20 and your insurer pays $80 (after deductible). These amounts and how they apply vary greatly by insurance plan. Dr. Brian Caswell-Monack recommends you consult your insurance plan documents or contact your insurer’s member services for details specific to your policy.

20251 John J Williams Hwy
Lewes DE 19958
Phone: (302) 644-6860

Dr. Brian Caswell-Monack, DO is regulated by the Delaware Code, Title 24, Chapter 17 (Medical Practice Act) in Delaware and is licensed by The Delaware Board of Medical Licensure and Discipline.

National Provider Identifier (NPI): 1164733291

Registration can typically be verified through The Delaware Board of Medical Licensure and Discipline website or by direct inquiry.

The information on this profile is for general informational purposes only and does not constitute direct medical advice from the physician named. Family Physicians like Dr. Brian Caswell-Monack are skilled in managing a wide range of health issues. For urgent or life-threatening emergencies, please call 911 or visit the nearest emergency department. It is always recommended to maintain open communication with your Family Physician about all aspects of your health, including any treatments received from other practitioners or specialists.