| Georgeann Wallden, | |
|
1544 Kuser Rd Ste C9, Hamilton, NJ 08619-3830 | |
| (734) 373-0849 | |
| Not Available |
| Full Name | Georgeann Wallden |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1544 Kuser Rd Ste C9, Hamilton, 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 |
|---|---|---|---|
| 1407480353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 25MP00561600 (New Jersey) | Primary |
| Entity Name | Ophelia Medical Group NJ PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346906179 PECOS PAC ID: 0547657397 Enrollment ID: O20220425002148 |
| Mailing Address | Practice Location Address |
|---|---|
| Georgeann Wallden, 2119 Gallagher Ave, Scotch Plains, NJ 07076-2607 Ph: (917) 923-4941 | Georgeann Wallden, 1544 Kuser Rd Ste C9, Hamilton, NJ 08619-3830 Ph: (734) 373-0849 |
Daniel M Kawash, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2501 Kuser Rd Ste 3, Hamilton, NJ 08691 Phone: 609-896-0444 Fax: 609-896-1126 |
Grace Elizabeth Sterling, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1085 White Horse Ave, Hamilton, NJ 08610 Phone: 609-578-4170 |
Liudmila Evdokimova, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3836 Quakerbridge Rd Ste 206, Hamilton, NJ 08619 Phone: 609-246-3864 |
Hannah Totoro Sabbagh, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1544 Kuser Rd Ste C9, Hamilton, NJ 08619 Phone: 734-373-0849 |
Karen Benedetti-colter, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2073 Klockner Rd, Hamilton, NJ 08690 Phone: 609-584-1212 Fax: 609-584-0103 |
Nehali Lathia, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1 Nami Ln Ste 8, Hamilton, NJ 08619 Phone: 609-631-9006 |
Ashley Melton, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2271 Highway 33 Ste 103, Hamilton, NJ 08690 Phone: 609-890-4080 Fax: 609-890-4090 |