| Kellie Kozak, PA-C | |
|
1605 E Evesham Rd Ste 201, Voorhees, NJ 08043-1437 | |
| (856) 565-2900 | |
| (856) 565-2901 |
| Full Name | Kellie Kozak |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 1605 E Evesham Rd Ste 201, Voorhees, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255716825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | MA066072 (Pennsylvania) | Secondary |
| 363A00000X | Physician Assistant | 25MP00883700 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Thomas Jefferson University Hospital | Philadelphia, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Clinical Health Care Associates Of New Jersey Pc | 0749180198 | 793 |
| Kennedy Medical Group Practice, P.c. | 2860616877 | 417 |
| Entity Name | Clinical Health Care Associates of New Jersey PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447260435 PECOS PAC ID: 0749180198 Enrollment ID: O20040421001473 |
| Entity Name | Kennedy Medical Group Practice, P.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952726796 PECOS PAC ID: 2860616877 Enrollment ID: O20140613000689 |
| Mailing Address | Practice Location Address |
|---|---|
| Kellie Kozak, PA-C 1001 Sheppard Rd, Voorhees, NJ 08043-4796 Ph: (817) 946-6960 | Kellie Kozak, PA-C 1605 E Evesham Rd Ste 201, Voorhees, NJ 08043-1437 Ph: (856) 565-2900 |
Ms. Colleen Elizabeth Brown, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 900 Centennial Blvd Ste H, Voorhees, NJ 08043 Phone: 856-325-6702 |
Helene Chibane, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 100 Bowman Dr, Voorhees, NJ 08043 Phone: 856-247-3000 |
Gabrielle Toro, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Bowman Dr Ste E355, Voorhees, NJ 08043 Phone: 856-247-7210 Fax: 856-247-7511 |
Stephanie A Godbold, PA C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Bowman Dr, Suite E-100, Voorhees, NJ 08043 Phone: 609-267-9400 |
Ms. Naw Susan Than, Physician Assistant Medicare: Medicare Enrolled Practice Location: 200 Bowman Dr Ste E385, Voorhees, NJ 08043 Phone: 856-840-4534 Fax: 856-762-2853 |
Lindsey Martin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Bowman Dr Ste D285, Voorhees, NJ 08043 Phone: 856-602-4000 Fax: 856-946-1747 |
Jael Jeong Madrid, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 443 Laurel Oak Rd, Voorhees, NJ 08043 Phone: 215-951-2800 |