| Annelise Stoffels, | |
|
73 N Maple Ave, Marlton, NJ 08053-1782 | |
| (844) 542-2273 | |
| Not Available |
| Full Name | Annelise Stoffels |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 73 N Maple Ave, Marlton, 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 |
|---|---|---|---|
| 1578388724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 26NR22130300 (New Jersey) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 26NJ15239200 (New Jersey) | Primary |
| Entity Name | Kennedy Medical Group Practice, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952726796 PECOS PAC ID: 2860616877 Enrollment ID: O20140613000689 |
| Mailing Address | Practice Location Address |
|---|---|
| Annelise Stoffels, 73 N Maple Ave, Marlton, NJ 08053-1782 Ph: (844) 542-2273 | Annelise Stoffels, 73 N Maple Ave, Marlton, NJ 08053-1782 Ph: (844) 542-2273 |
Dorothy Westlake, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 Rt. 73 North, Upper Level A & Main Level, Marlton, NJ 08053 Phone: 856-988-3444 | |
Phenita Sammantha Mouzon, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 777 Route 70 E Ste G101, Marlton, NJ 08053 Phone: 856-818-4020 | |
Alyssa Whalen, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 141 Route 70, Suite B Renaissance Square, Marlton, NJ 08053 Phone: 856-596-9057 Fax: 856-596-0837 | |
Mrs. Yingqiao Chen, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2003 Lincoln Dr W Ste B, Marlton, NJ 08053 Phone: 856-886-8839 Fax: 856-210-1874 | |
Ms. Fleurdeliz Alabanzas Germodo, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 141 Route 70 E Ste B, Marlton, NJ 08053 Phone: 856-596-9057 | |
Ms. Maria Terresa Pauciello, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 Route 73 N Upper Level A & Main Level, Marlton, NJ 08053 Phone: 856-988-3444 Fax: 856-795-3625 | |
Valerie T Cotter, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11009 Lincoln Dr W, Marlton, NJ 08053 Phone: 856-985-9851 Fax: 856-985-9955 |