| Maressa T Pollen, | |
|
400 Health Park Blvd, St Augustine, FL 32086-5784 | |
| (904) 819-4363 | |
| Not Available |
| Full Name | Maressa T Pollen |
|---|---|
| Gender | Female |
| Speciality | Pathology |
| Experience | 19 Years |
| Location | 400 Health Park Blvd, St Augustine, Florida |
| 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 |
|---|---|---|---|
| 1174733372 | NPI | - | NPPES |
| 024549900 | Medicaid | FL | |
| 07914 | Medicaid | LA |
| Facility Name | Location | Facility Type |
|---|---|---|
| Robert Wood Johnson University Hospital | New brunswick, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rutgers Health-rwj Pediatric Critical Care | 1355390287 | 131 |
| Entity Name | Rutgers Health-rwj Pathology |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538173539 PECOS PAC ID: 8921090663 Enrollment ID: O20040401000743 |
| Entity Name | Rutgers Health-rwj Pediatric Critical Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780766527 PECOS PAC ID: 1355390287 Enrollment ID: O20050119000070 |
| Mailing Address | Practice Location Address |
|---|---|
| Maressa T Pollen, Po Box 3123, St Augustine, FL 32085-3123 Ph: () - | Maressa T Pollen, 400 Health Park Blvd, St Augustine, FL 32086-5784 Ph: (904) 819-4363 |
Lin Li, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 400 Health Park Blvd, St Augustine, FL 32086 Phone: 904-824-4990 Fax: 904-824-2226 | |
Yanet Pantaleon, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 400 Health Park Blvd, St Augustine, FL 32086 Phone: 904-819-4363 Fax: 904-819-4927 | |
Dr. Ioan Corneliu Cucoranu, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 559 W Twincourt Trl Unit 604a, St Augustine, FL 32095 Phone: 904-551-9949 | |
Raghuraj Singh Raghuwanshi, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 400 Health Park Blvd, St Augustine, FL 32086 Phone: 904-819-5155 |