| Maryann Sous, PA-C | |
|
350 Engle St, Englewood, NJ 07631-1808 | |
| (201) 894-3636 | |
| Not Available |
| Full Name | Maryann Sous |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 350 Engle St, Englewood, 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 |
|---|---|---|---|
| 1962879262 | NPI | - | NPPES |
| 0867586 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | MA060141 (Pennsylvania) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 25MP00391600 (New Jersey) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rutgers Health-rwj Neurosurgery Faculty | 4587613443 | 189 |
| Entity Name | Robert Wood Johnson Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902848625 PECOS PAC ID: 8628065117 Enrollment ID: O20040427001205 |
| Entity Name | Rutgers Health-rwj Neurosurgery Faculty |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710012604 PECOS PAC ID: 4587613443 Enrollment ID: O20050118000611 |
| Entity Name | Medical Associates of Englewood PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952681918 PECOS PAC ID: 1355512252 Enrollment ID: O20110927000020 |
| Mailing Address | Practice Location Address |
|---|---|
| Maryann Sous, PA-C 100 E Lancaster Ave, Wynnewood, PA 19096-3450 Ph: (484) 476-1000 | Maryann Sous, PA-C 350 Engle St, Englewood, NJ 07631-1808 Ph: (201) 894-3636 |
Allison Leigh Luther, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 229 Engle St, Englewood, NJ 07631 Phone: 201-567-8999 |
Kevin Mathew, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 500 Grand Ave, Englewood, NJ 07631 Phone: 201-567-2277 |
Euikyeom Jeong, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 229 Engle St, Englewood, NJ 07631 Phone: 201-567-8999 |
Priyanka Bahl, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18 W Palisade Ave, Englewood, NJ 07631 Phone: 888-663-6331 Fax: 415-252-7176 |
Tessa Dimasi, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 350 Engle St, Englewood, NJ 07631 Phone: 201-894-3893 |
Miss Janine Mary Mansukhani, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 350 Engle St Fl 5, Englewood, NJ 07631 Phone: 201-894-3636 |
Jennie Mayer, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 350 Engle St, Englewood Hospital, Englewood, NJ 07631 Phone: 201-984-3000 Fax: 610-617-6280 |