| Kelcey Mar, | |
|
44 State Rt 23 Ste 6, Riverdale, NJ 07457-1603 | |
| (973) 248-9199 | |
| Not Available |
| Full Name | Kelcey Mar |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 44 State Rt 23 Ste 6, Riverdale, 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 |
|---|---|---|---|
| 1831802875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 350533 (New York) | Primary |
| Entity Name | Four Season Medical Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447785316 PECOS PAC ID: 1850666819 Enrollment ID: O20171019001338 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelcey Mar, 44 State Rt 23 Ste 6, Riverdale, NJ 07457-1603 Ph: (973) 248-9199 | Kelcey Mar, 44 State Rt 23 Ste 6, Riverdale, NJ 07457-1603 Ph: (973) 248-9199 |
Michelle Eggart, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18 Newark Pompton Tpke, Riverdale, NJ 07457 Phone: 973-831-5451 | |
Lynn Freeman Carten, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18 Newark Pompton Tpke, Riverdale, NJ 07457 Phone: 973-566-5040 Fax: 973-831-5431 | |
Julie Kim, APN-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 44 State Rt 23 Ste 7, Riverdale, NJ 07457 Phone: 973-248-1550 | |
Prabjeet Kaur, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 44 State Rt 23 Ste 6, Riverdale, NJ 07457 Phone: 973-248-9199 Fax: 973-248-9299 | |
Gisele Mccrea, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9 Hartung Ave, Riverdale, NJ 07457 Phone: 201-926-2893 | |
Sue Ellen Rose, RN NPC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 72 Hamburg Tpke Ste B, Riverdale, NJ 07457 Phone: 973-696-6687 Fax: 833-488-1216 |