| Dr Amanda Derrick Canova, MD | |
|
653 Willow Grove St, Suite 2200, Hackettstown, NJ 07840-1732 | |
| (908) 852-7770 | |
| (908) 852-7755 |
| Full Name | Dr Amanda Derrick Canova |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 26 Years |
| Location | 653 Willow Grove St, Hackettstown, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164468161 | NPI | - | NPPES |
| 0027553 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | MA71710 (New Jersey) | Secondary |
| 207V00000X | Obstetrics & Gynecology | MD441088 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hackettstown Medical Center | Hackettstown, NJ | Hospital |
| Newton Medical Center | Newton, NJ | Hospital |
| Saint Clare's Hospital/ Denville Campus | Denville, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lifeline Medical Associates Llc | 1456332170 | 143 |
| Entity Name | Lifeline Medical Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821041617 PECOS PAC ID: 1456332170 Enrollment ID: O20040528000067 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Amanda Derrick Canova, MD 653 Willow Grove St, Suite 2200, Hackettstown, NJ 07840-1732 Ph: (908) 852-7770 | Dr Amanda Derrick Canova, MD 653 Willow Grove St, Suite 2200, Hackettstown, NJ 07840-1732 Ph: (908) 852-7770 |
Neil M Campbell, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 108 Bilby Rd, Suite 305, Hackettstown, NJ 07840 Phone: 908-813-8811 | |
Dr. Michael Angelo Schiavone Ii, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 653 Willow Grove St, Suite 2200, Hackettstown, NJ 07840 Phone: 908-441-1404 Fax: 908-441-1460 | |
Paul M. Littman, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 616 Willow Grove St, Hackettstown, NJ 07840 Phone: 908-813-2622 Fax: 973-726-7230 | |
Lisa May Defalco, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 653 Willow Grove St, Suite 2200, Hackettstown, NJ 07840 Phone: 908-852-7770 Fax: 908-852-7755 | |
Stanley Joseph Skoczylas, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 32 Nancy Terrace, Washington Township, Hackettstown, NJ 07840 Phone: 908-852-7100 Fax: 908-813-1067 |