| Michael Mammon, | |
|
25 Pocono Rd, Denville, NJ 07834-2954 | |
| (973) 625-5000 | |
| Not Available |
| Full Name | Michael Mammon |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 25 Pocono Rd, Denville, 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 |
|---|---|---|---|
| 1770665341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | MP-529 (New Jersey) | Primary |
| Entity Name | Emergency Physicians of Saint Clares LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366517856 PECOS PAC ID: 1557253713 Enrollment ID: O20041216000147 |
| Entity Name | Emergency Associates of St Marys LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477063329 PECOS PAC ID: 4183982663 Enrollment ID: O20171212000887 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Mammon, 1101 Adams St Apt 406, Hoboken, NJ 07030-2221 Ph: (201) 963-9211 | Michael Mammon, 25 Pocono Rd, Denville, NJ 07834-2954 Ph: (973) 625-5000 |
Lauren N Arredondo, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 295 E Main St # 315, Denville, NJ 07834 Phone: 973-370-3130 Fax: 844-922-2777 |
Siddhi Kaushik Patel, Physician Assistant Medicare: Medicare Enrolled Practice Location: 25 Pocono Rd, Denville, NJ 07834 Phone: 973-625-6000 |
Michael Anthony Maddaloni, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 25 Pocono Rd, Denville, NJ 07834 Phone: 973-625-6000 |
Jessica Stillman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 25 Pocono Rd, Denville, NJ 07834 Phone: 973-625-6000 |
Elizabeth Marie Platt, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 161 E Main St, Denville, NJ 07834 Phone: 973-586-1212 |
Andrew Lisa, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 25 Pocono Rd, Denville, NJ 07834 Phone: 973-625-6511 |
Kate Freitas Mccooey, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 23 Pocono Rd, Suite 100, Denville, NJ 07834 Phone: 973-316-1701 |