| Brandon Francis Tunstall, AGPCNP | |
|
1050 Mantua Pike, Wenonah, NJ 08090-1141 | |
| (856) 210-7679 | |
| (856) 210-7526 |
| Full Name | Brandon Francis Tunstall |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 1050 Mantua Pike, Wenonah, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639649981 | NPI | - | NPPES |
| 83-2672304 | Other | NJ | TAX ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 26NJ00861800 (New Jersey) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| 100 Percent Healthcare Llc | 7719407014 | 12 |
| Entity Name | Senacare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104447127 PECOS PAC ID: 6103257571 Enrollment ID: O20200519002212 |
| Entity Name | Careconnectmd New Jersey Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417638990 PECOS PAC ID: 7315475266 Enrollment ID: O20250107000048 |
| Entity Name | 100 Percent Healthcare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023820370 PECOS PAC ID: 7719407014 Enrollment ID: O20250217002277 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Francis Tunstall, AGPCNP 1050 Mantua Pike, Wenonah, NJ 08090-1141 Ph: (856) 210-7679 | Brandon Francis Tunstall, AGPCNP 1050 Mantua Pike, Wenonah, NJ 08090-1141 Ph: (856) 210-7679 |
Jacquelyn Regina Zagone, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12 W Willow St, Wenonah, NJ 08090 Phone: 856-571-2139 | |
Eliza White, RN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1050 Mantua Pike, 601 Office Plaza - 2nd Floor, Wenonah, NJ 08090 Phone: 856-468-8330 Fax: 856-468-9121 | |
Katharine C Sporer, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 107 E Mantua Ave, Wenonah, NJ 08090 Phone: 856-468-6868 Fax: 856-464-1855 | |
Mrs. Alycia Leigh Bischof, APN,C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1050 Mantua Pike, Suite 200, Wenonah, NJ 08090 Phone: 856-853-0848 Fax: 856-853-1889 | |
Robin Keisha Lynch-varela, APN-CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1050 Mantua Pike, Suite 200, Wenonah, NJ 08090 Phone: 856-853-0848 Fax: 856-853-1889 |