| Gerald J Durivage, APN | |
|
6 Collier Dr, Blackwood, NJ 08012-2983 | |
| (610) 908-9811 | |
| Not Available |
| Full Name | Gerald J Durivage |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 6 Collier Dr, Blackwood, 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 |
|---|---|---|---|
| 1023486644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | SP015225 (Pennsylvania) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | SP015225 (Pennsylvania) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Optum Medical Care Of New Jersey Pc | 3072650290 | 185 |
| Entity Name | Robert J Maro Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952342743 PECOS PAC ID: 5193627826 Enrollment ID: O20040123000195 |
| Entity Name | Optum Medical Care Of New Jersey Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578665048 PECOS PAC ID: 3072650290 Enrollment ID: O20091021000129 |
| Entity Name | Act On Total Health Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952992455 PECOS PAC ID: 6608284674 Enrollment ID: O20210413001435 |
| Mailing Address | Practice Location Address |
|---|---|
| Gerald J Durivage, APN 6 Collier Dr, Blackwood, NJ 08012-2983 Ph: (610) 908-9811 | Gerald J Durivage, APN 6 Collier Dr, Blackwood, NJ 08012-2983 Ph: (610) 908-9811 |
Tatanisha Hason, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 E Church St, Blackwood, NJ 08012 Phone: 856-227-6575 Fax: 856-374-9465 | |
Marissa Singh, APN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 527 S Black Horse Pike, Blackwood, NJ 08012 Phone: 856-302-5322 | |
Mrs. Cynthia A. Menzoni, APN-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6 Collier Dr, Blackwood, NJ 08012 Phone: 856-677-5226 Fax: 866-954-2679 | |
Mr. Scott Strahle, G.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 141 S Black Horse Pike, Suite 104, Blackwood, NJ 08012 Phone: 856-292-8216 Fax: 856-848-3011 | |
Christine Cowley, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 42 Country Club Rd, Blackwood, NJ 08012 Phone: 856-340-9929 | |
Mrs. Dana Carol Kemery, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 159 S Black Horse Pike, Blackwood, NJ 08012 Phone: 856-625-0100 |