| Bethany Renee Canver, MD | |
|
390 N Broadway Bldg Ste 100, Pennsville, NJ 08070-1253 | |
| (856) 678-6411 | |
| Not Available |
| Full Name | Bethany Renee Canver |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 390 N Broadway Bldg Ste 100, Pennsville, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255820841 | NPI | - | NPPES |
| 008056168 | Medicaid | CT | |
| 008039745 | Medicaid | CT | |
| 008068298 | Medicaid | CT | |
| 008056033 | Medicaid | CT | |
| 008103365 | Medicaid | CT | |
| 004217099 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA11541400 (New Jersey) | Primary |
| Entity Name | Cooper Family Medicine Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649217175 PECOS PAC ID: 4284530197 Enrollment ID: O20080417000457 |
| Mailing Address | Practice Location Address |
|---|---|
| Bethany Renee Canver, MD 1 Federal St Ste 200, Camden, NJ 08103-1088 Ph: (848) 288-6935 | Bethany Renee Canver, MD 390 N Broadway Bldg Ste 100, Pennsville, NJ 08070-1253 Ph: (856) 678-6411 |
Ashoke K Deb, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 390 N Broadway Ste 100, Pennsville, NJ 08070 Phone: 856-678-6411 Fax: 856-678-7509 | |
Dr. Daniel Earl Shufler, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 48 North Broadway, Suite D, Pennsville, NJ 08070 Phone: 856-678-5252 Fax: 856-678-2333 |