| Dr Chanel T Tillery, DNP, APRN, FNP-C | |
|
150 Bergen St, Newark, NJ 07103-2496 | |
| (973) 972-5123 | |
| Not Available |
| Full Name | Dr Chanel T Tillery |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 150 Bergen St, Newark, New Jersey |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083463657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 26NR20372200 (New Jersey) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 26NJ15148700 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| The University Hospital | Newark, NJ | Hospital |
| Entity Name | University Hospital |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1023266962 PECOS PAC ID: 5294636874 Enrollment ID: O20081004000043 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Chanel T Tillery, DNP, APRN, FNP-C 150 Bergen St, Newark, NJ 07103-2496 Ph: (973) 972-5123 | Dr Chanel T Tillery, DNP, APRN, FNP-C 150 Bergen St, Newark, NJ 07103-2496 Ph: (973) 972-5123 |
Mr. Michael C Cadorette, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Gateway Ctr Ste 2600, Newark, NJ 07102 Phone: 866-949-0108 | |
Casey Yeonjoo Cho, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 Lyons Ave, Newark, NJ 07112 Phone: 973-926-6938 | |
Nirali S. Bhavsar, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Riverfront Plz Ste 300, Newark, NJ 07102 Phone: 201-273-7047 Fax: 855-998-4358 | |
Amalia Zuna, DNP, CPNP-AC/PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 201 Lyons Ave, Newark, NJ 07112 Phone: 973-926-7000 | |
Mrs. Kisha Tamara Anderson, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 151 Washington St, Newark, NJ 07102 Phone: 973-622-3900 Fax: 973-622-1698 | |
Sabitri Nesbitt, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 151 Washington St, Newark, NJ 07102 Phone: 973-622-3900 Fax: 973-622-1698 | |
Marva Monique, Natasha Barbour, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 394 University Ave, Newark, NJ 07102 Phone: 973-877-6171 |