| Thomas R Mirsen, MD | |
|
3 Cooper Plz, Suite 215 (neurology), Camden, NJ 08103-1438 | |
| (856) 342-2445 | |
| (856) 964-0504 |
| Full Name | Thomas R Mirsen |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 3 Cooper Plz, Camden, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902980352 | NPI | - | NPPES |
| 010003879 | Other | AMERICHOICE | |
| P440700 | Other | OXFORD | |
| 7808502 | Other | CIGNA | |
| 3K6143 | Other | HEALTHNET | |
| 1024720 | Other | HORIZON NJ HEALTH | |
| 1243169 | Other | UNITED HEALTHCARE | |
| 567399 | Other | AMERIHEALTH PPO | |
| 0388541000 | Other | AMERIHEALTH, KEYSTONE, IBC | |
| 0518267 | Other | AETNA | |
| 0651800 | Medicaid | NJ | |
| 110084266 | Other | RR MEDICARE | |
| 13517 | Other | UNIVERSITY HEALTH PLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | MA54529 (New Jersey) | Primary |
| Entity Name | Cmc Dept Of Medicine Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386682094 PECOS PAC ID: 2163335878 Enrollment ID: O20050104000343 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas R Mirsen, MD 3 Cooper Plz, Suite 320, Camden, NJ 08103-1438 Ph: (856) 342-2445 | Thomas R Mirsen, MD 3 Cooper Plz, Suite 215 (neurology), Camden, NJ 08103-1438 Ph: (856) 342-2445 |
Dr. Thomas Denton Demark, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3 Cooper Plz, Suite 307, Camden, NJ 08103 Phone: 856-342-2328 Fax: 856-541-6137 | |
Nicholas Matthew Adamo, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1 Cooper Plz, Camden, NJ 08103 Phone: 800-826-6737 | |
Pamela Szeeley, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3 Cooper Plz, Suite 307, Camden, NJ 08103 Phone: 856-968-7433 | |
Elena I Safronova, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3 Cooper Plz Rm 307, Camden, NJ 08103 Phone: 856-342-2328 | |
John E Bevilacqua, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3 Cooper Plz, Suite 320, Camden, NJ 08103 Phone: 856-616-1337 | |
Dr. Michael H Goodman, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3 Cooper Plz, Suite 200, Camden, NJ 08103 Phone: 856-342-2001 Fax: 856-968-2499 | |
Vanessa Salasky, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1600 Haddon Ave Fl 6, Camden, NJ 08103 Phone: 856-757-3500 Fax: 856-365-4088 |