| Marjorie A Chiavacci, CRNA | |
|
408 Route 70 East, Cherry Hill, NJ 08034 | |
| (215) 829-3867 | |
| (215) 829-5567 |
| Full Name | Marjorie A Chiavacci |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 408 Route 70 East, Cherry Hill, 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 |
|---|---|---|---|
| 1306861935 | NPI | - | NPPES |
| P00614951 | Other | PA | RAILROAD MEDICARE |
| 50077109 | Other | PA | CAPIITAL BLUE CROSS, KEYSTONE CENTRAL, SENIOR BLUE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN286751L (Pennsylvania) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 26NR07942400 (New Jersey) | Secondary |
| Entity Name | Society Hill Anesthesia Consultants Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427003219 PECOS PAC ID: 5991617292 Enrollment ID: O20031119000358 |
| Entity Name | Associates In Anesthesia, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942281191 PECOS PAC ID: 9335052034 Enrollment ID: O20031124000710 |
| Entity Name | Middletown Anesthesia Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942218821 PECOS PAC ID: 5395630024 Enrollment ID: O20040220000142 |
| Entity Name | Professional Anesthesia Services Of North America Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972994820 PECOS PAC ID: 1658698824 Enrollment ID: O20150327000075 |
| Entity Name | Ultracare Anesthesia Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407236110 PECOS PAC ID: 4082920525 Enrollment ID: O20200107001513 |
| Mailing Address | Practice Location Address |
|---|---|
| Marjorie A Chiavacci, CRNA 804 Scott Nixon Memorial Dr, Augusta, GA 30907-2464 Ph: (800) 394-4445 | Marjorie A Chiavacci, CRNA 408 Route 70 East, Cherry Hill, NJ 08034 Ph: (215) 829-3867 |
Brigid Squilla, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 408 Route 70 E, Cherry Hill, NJ 08034 Phone: 215-829-3867 | |
Mr. Allan Moticska, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2201 Chapel Ave W, Kennedy Health System, Cherry Hill, NJ 08002 Phone: 856-488-6500 | |
Augustine Devita, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 408 Route 70 E, Cherry Hill, NJ 08034 Phone: 215-829-3867 | |
Mr. Daniel William Boucot, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2201 Chapel Ave, .kennedy Health System, Cherry Hill, NJ 08002 Phone: 856-829-9345 Fax: 856-829-3605 | |
Julia Ohara, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 408 Route 70 E, Cherry Hill, NJ 08034 Phone: 800-516-5315 Fax: 517-787-7365 | |
Ms. Charmaine Young, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2201 Chapel Ave West, Kennedy Health System, Cherry Hill, NJ 08002 Phone: 856-488-6500 |