Dr Nicole Anne Scivoletti-polan, DO - Medicare Pulmonary Disease in Mullica Hill, NJ

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Dr Nicole Anne Scivoletti-polan, DO is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Mullica Hill, New Jersey. She went to Philadelphia College Of Osteopathic Medicine and graduated in 2010 and has 16 years of diverse experience with area of expertise as Pulmonary Disease. She is a member of the group practice Inspira Health Network Medical Group Pc and her current practice location is 201 Tomlin Station Rd Ste D, Mullica Hill, New Jersey. You can reach out to her office (for appointments etc.) via phone at (856) 853-2025.

Dr Nicole Anne Scivoletti-polan is licensed to practice in New Jersey (license number MB08768700) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1699098095.

Contact Information

Dr Nicole Anne Scivoletti-polan, DO
201 Tomlin Station Rd Ste D,
Mullica Hill, NJ 08062-1612
(856) 853-2025
(856) 845-8024

Map and Direction




Physician's Profile

Full NameDr Nicole Anne Scivoletti-polan
GenderFemale
SpecialityPulmonary Disease
Experience16 Years
Location201 Tomlin Station Rd Ste D, Mullica Hill, New Jersey
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Nicole Anne Scivoletti-polan attended and graduated from Philadelphia College Of Osteopathic Medicine in 2010
  NPI Data:
  • NPI Number: 1699098095
  • Provider Enumeration Date: 03/12/2010
  • Last Update Date: 12/24/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3375781701
  • Enrollment ID: I20130524000345

Medical Identifiers

Medical identifiers for Dr Nicole Anne Scivoletti-polan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699098095NPI-NPPES
102868773001MedicaidPA
356662MedicaidNJ
0356662MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RP1001XInternal Medicine - Pulmonary Disease MB08768700 (New Jersey)Primary
207RC0200XInternal Medicine - Critical Care Medicine MB08768700 (New Jersey)Secondary
207RP1001XInternal Medicine - Pulmonary Disease OS016572 (Pennsylvania)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Inspira Medical Center ElmerElmer, NJHospital
Inspira Medical Center VinelandVineland, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Inspira Health Network Medical Group Pc4880797570220

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Nicole Anne Scivoletti-polan allows following entities to bill medicare on her behalf.
Entity NameCmc Dept Of Medicine Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386682094
PECOS PAC ID: 2163335878
Enrollment ID: O20050104000343
Entity NameCmc Dept Of Medicine Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679605554
PECOS PAC ID: 2163335878
Enrollment ID: O20050203000280
Entity NameCmc Dept Of Medicine Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265565667
PECOS PAC ID: 2163335878
Enrollment ID: O20050504000294
Entity NameInspira Health Network Medical Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922177856
PECOS PAC ID: 4880797570
Enrollment ID: O20070319000280

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Nicole Anne Scivoletti-polan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Nicole Anne Scivoletti-polan, DO
134 Bridgeton Pike,
Mullica Hill, NJ 08062-2616

Ph: (856) 507-2783		Dr Nicole Anne Scivoletti-polan, DO
201 Tomlin Station Rd Ste D,
Mullica Hill, NJ 08062-1612

Ph: (856) 853-2025

Reviews and Comments


Internal Medicine Doctors in Mullica Hill, NJ

Trina Doreen Banerjee, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 5 Myers Drive Unit 105, Mullica Hill, NJ 08062
Phone: 856-431-6300    Fax: 856-431-6310
Jasper Mok, MD
Pulmonary Disease
Medicare: May Accept Medicare Assignments
Practice Location: 700 Mullica Hill Rd, Mullica Hill, NJ 08062
Phone: 856-508-1000    
Dr. Antonio Quiachon Velasco Jr., D.O.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 700 Mullica Hill Rd, Mullica Hill, NJ 08062
Phone: 856-508-1000    
Jodi V Fox-mellul, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 34 Colson Ln, Mullica Hill, NJ 08062
Phone: 856-223-0965    Fax: 856-223-1357
Suemair Hassan, DO
Pulmonary Disease
Medicare: Not Enrolled in Medicare
Practice Location: 700 Mullica Hill Rd, Mullica Hill, NJ 08062
Phone: 856-508-8000    
Dr. Erev E Tubb, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 698 Mullica Hill Rd Ste 300, Mullica Hill, NJ 08062
Phone: 856-508-3575    Fax: 856-221-4101
Akshara Kartik, DO
Pulmonary Disease
Medicare: Not Enrolled in Medicare
Practice Location: 700 Mullica Hill Rd, Mullica Hill, NJ 08062
Phone: 856-308-3291    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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