| Maria Livecchi, | |
|
111 Hampshire Ave, Audubon, NJ 08106-2017 | |
| (609) 707-0677 | |
| Not Available |
| Full Name | Maria Livecchi |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 111 Hampshire Ave, Audubon, 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 |
|---|---|---|---|
| 1962293407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 26NR26935300 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jefferson Stratford Hospital | Stratford, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kennedy Medical Group Practice, P.c. | 2860616877 | 417 |
| 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 |
|---|---|
| Maria Livecchi, 111 Hampshire Ave, Audubon, NJ 08106-2017 Ph: (609) 707-0677 | Maria Livecchi, 111 Hampshire Ave, Audubon, NJ 08106-2017 Ph: (609) 707-0677 |
Jeffrey Rowse, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 509 Cedarcroft Ave, Audubon, NJ 08106 Phone: 800-950-6066 |
Sandra L Mayer, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 230 Oakland Ave, Apartment 6, Audubon, NJ 08106 Phone: 732-586-1078 Fax: 609-588-2950 |
Silvia Ascasibar, RN BSN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 600 S White Horse Pike, Audubon, NJ 08106 Phone: 856-630-3940 |