| Dr Joseph William Fanelle, MD | |
|
1505 W Sherman Ave, Vineland, NJ 08360-7059 | |
| (568) 641-7920 | |
| (856) 641-8689 |
| Full Name | Dr Joseph William Fanelle |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 38 Years |
| Location | 1505 W Sherman Ave, Vineland, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578563334 | NPI | - | NPPES |
| 5050804 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 25MA05181300 (New Jersey) | Primary |
| 2085R0001X | Radiology - Radiation Oncology | MD042008E (Pennsylvania) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pinnacle Health Regional Physicians | 7416228358 | 146 |
| Entity Name | Pinnacle Health Medical Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932143427 PECOS PAC ID: 7618960493 Enrollment ID: O20040407000180 |
| Entity Name | Pinnacle Health Regional Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013441690 PECOS PAC ID: 7416228358 Enrollment ID: O20170810001731 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joseph William Fanelle, MD 184 Field Loop, Glassboro, NJ 08028-3292 Ph: (609) 501-7489 | Dr Joseph William Fanelle, MD 1505 W Sherman Ave, Vineland, NJ 08360-7059 Ph: (568) 641-7920 |
Michael Spivak, D.O. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1505 W Sherman Ave, Vineland, NJ 08360 Phone: 610-459-3113 | |
Shailendra A Desai, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1450 E Chestnut Ave, Building 4, Suite A, Vineland, NJ 08361 Phone: 856-794-8664 Fax: 856-794-2671 | |
Andrew K Liu, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1505 W Sherman Ave, Vineland, NJ 08360 Phone: 856-641-7940 Fax: 856-641-7657 | |
Eric Wydra, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1505 W. Sherman Avenue, Dept Of Radiology, Vineland, NJ 08360 Phone: 856-641-7937 | |
Ernesto B Go, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1450 E Chestnut Ave, Building 4, Suite A, Vineland, NJ 08361 Phone: 856-794-8664 Fax: 856-794-2671 | |
Daniel Burritt, Radiology Medicare: Accepting Medicare Assignments Practice Location: 994 W Sherman Ave Bldg 2, Vineland, NJ 08360 Phone: 631-534-7246 Fax: 856-457-5681 | |
Steven H Rothfarb, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1450 E Chestnut Ave, Building 4, Suite A, Vineland, NJ 08361 Phone: 856-794-8664 Fax: 856-794-2671 |