| Johan Reyes, | |
|
1400 Route 70 E, Cherry Hill, NJ 08034-2240 | |
| (888) 985-2727 | |
| Not Available |
| Full Name | Johan Reyes |
|---|---|
| Gender | Male |
| Speciality | Pain Management |
| Experience | 14 Years |
| Location | 1400 Route 70 E, Cherry Hill, New Jersey |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750680948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP2900X | Anesthesiology - Pain Medicine | 25MA09904000 (New Jersey) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Spine And Pain Llc | 0648358234 | 36 |
| Advanced Spine And Pain Llc | 0648358234 | 36 |
| Entity Name | Advanced Spine And Pain Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730359084 PECOS PAC ID: 0648358234 Enrollment ID: O20080423000019 |
| Entity Name | Outreach Recovery Ii, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427541838 PECOS PAC ID: 5294166302 Enrollment ID: O20210308000369 |
| Mailing Address | Practice Location Address |
|---|---|
| Johan Reyes, 1400 Route 70 E, Cherry Hill, NJ 08034-2240 Ph: (888) 985-2727 | Johan Reyes, 1400 Route 70 E, Cherry Hill, NJ 08034-2240 Ph: (888) 985-2727 |
Emanuel Lamprou Jr., MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 2070 Springdale Rd, Suite 200, Cherry Hill, NJ 08003 Phone: 856-433-8267 Fax: 856-375-2251 | |
Pamela Polise, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 408 Route 70 E, Cherry Hill, NJ 08034 Phone: 215-829-3867 | |
Ann Mahadeviah, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 408 Route 70 E, Cherry Hill, NJ 08034 Phone: 215-829-3867 | |
Dr. Michael B. Kerner, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 12 Furlong Dr, Cherry Hill, NJ 08003 Phone: 856-795-0543 Fax: 856-795-0544 | |
Wendi Lanzidelle, CRNA Anesthesiology Medicare: Medicare Enrolled Practice Location: 408 Route 70 E, Cherry Hill, NJ 08034 Phone: 215-829-3867 | |
Asim H Khan, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1919 Greentree Rd, Cherry Hill, NJ 08003 Phone: 856-577-1435 Fax: 856-780-6219 | |
John J Mahoney, Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 1400 Route 70 E, Cherry Hill, NJ 08034 Phone: 888-985-2727 |