| Kathleen M Coakley, DO | |
|
200 Bowman Dr Ste E355, Voorhees, NJ 08043-9643 | |
| (856) 247-7210 | |
| (856) 247-7511 |
| Full Name | Kathleen M Coakley |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 14 Years |
| Location | 200 Bowman Dr Ste E355, Voorhees, 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 |
|---|---|---|---|
| 1528328051 | NPI | - | NPPES |
| NC2846 | Medicaid | SC | |
| 1528328051 | Medicaid | NC | |
| 0642932 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 25MB10389100 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Virtua West Jersey Hospitals | Voorhees, NJ | Hospital |
| Virtua Our Lady Of Lourdes Hospital | Camden, NJ | Hospital |
| Virtua Memorial Hospital Of Burlington County | Mount holly, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Virtua Medical Group, Pa | 9830222397 | 1498 |
| Entity Name | Virtua Medical Group, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649226515 PECOS PAC ID: 9830222397 Enrollment ID: O20100804000338 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen M Coakley, DO 301 Lippincott Dr Ste 410, Marlton, NJ 08053-4197 Ph: (856) 355-0340 | Kathleen M Coakley, DO 200 Bowman Dr Ste E355, Voorhees, NJ 08043-9643 Ph: (856) 247-7210 |
Charles Butler, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 502 Centennial Blvd, Suite 7, Voorhees, NJ 08043 Phone: 856-596-7440 Fax: 856-596-6723 | |
Nicole Melchior, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 Bowman Dr Ste E300, Voorhees, NJ 08043 Phone: 856-247-7515 | |
Blair Hermansky, CORT Surgery Medicare: Not Enrolled in Medicare Practice Location: 1307 White Horse Rd Ste C501, Voorhees, NJ 08043 Phone: 856-784-2659 | |
Robert Minor, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 130 Carnie Blvd, Suite 4, Voorhees, NJ 08043 Phone: 856-596-7440 Fax: 856-751-3320 | |
Alexandra Chudner, Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 Bowman Dr Ste E355, Voorhees, NJ 08043 Phone: 856-247-7210 Fax: 856-247-7511 | |
Edwin Empaynado, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 502 Centennial Blvd, Suite 5, Voorhees, NJ 08043 Phone: 856-429-8030 Fax: 856-428-2718 | |
Dr. Michael B. Marchildon, MD Surgery Medicare: Medicare Enrolled Practice Location: Virtua And Dupont Childrens Health Program, 1000 White Horse Road Suite 204, Voorhees, NJ 08043 Phone: 856-309-8508 Fax: 856-309-8556 |