| Kaitlin M Bourdeau, PA | |
|
1255 Broad St Ste 201a, Bloomfield, NJ 07003-3061 | |
| (973) 842-2100 | |
| Not Available |
| Full Name | Kaitlin M Bourdeau |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1255 Broad St Ste 201a, Bloomfield, 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 |
|---|---|---|---|
| 1780236489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 25MP00528000 (* (Not Available)) | Primary |
| Entity Name | Mehling Orthopedics LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659424109 PECOS PAC ID: 4587759923 Enrollment ID: O20071001000520 |
| Entity Name | Balance Medical Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053801530 PECOS PAC ID: 8426304460 Enrollment ID: O20180706000045 |
| Entity Name | Clifton Medical Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356936611 PECOS PAC ID: 3274942487 Enrollment ID: O20210429000104 |
| Mailing Address | Practice Location Address |
|---|---|
| Kaitlin M Bourdeau, PA 135 Brakeshoe Pl, Mahwah, NJ 07430-1102 Ph: (551) 804-7432 | Kaitlin M Bourdeau, PA 1255 Broad St Ste 201a, Bloomfield, NJ 07003-3061 Ph: (973) 842-2100 |
Francesca A Lubrano, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1255 Broad St, Bloomfield, NJ 07003 Phone: 201-833-9500 |
Morganne Marie Scancerella, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1455 Broad St, Bloomfield, NJ 07003 Phone: 908-291-5733 |
Audrey Alicia Gordeuk, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1455 Broad St Ste 250, Bloomfield, NJ 07003 Phone: 877-532-7837 |
Mr. Elton Vojka, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1455 Broad St Ste 250, Bloomfield, NJ 07003 Phone: 877-532-7837 |
Constance A Walwyn, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 267 Broughton Ave, Bloomfield, NJ 07003 Phone: 862-371-3061 |
Jennifer Elizabeth Vilcachagua, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 230 Broad St, Bloomfield, NJ 07003 Phone: 201-983-4062 |
Sandra Marcela Boyle, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 382 W Passaic Ave, Bloomfield, NJ 07003 Phone: 973-338-1900 |