| Miss Samantha Disantis, APN | |
|
141 Bridgeton Pike Unit B, Mullica Hill, NJ 08062-2615 | |
| (856) 291-8600 | |
| (856) 291-8610 |
| Full Name | Miss Samantha Disantis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 141 Bridgeton Pike Unit B, Mullica Hill, 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 |
|---|---|---|---|
| 1629448493 | NPI | - | NPPES |
| 0550566 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 26NR1252700 (New Jersey) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 26NJ00595500 (New Jersey) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Virtua Medical Group, Pa | 9830222397 | 1498 |
| Entity Name | Virtua Medical Group, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649226515 PECOS PAC ID: 9830222397 Enrollment ID: O20100804000338 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Samantha Disantis, APN Po Box 7776, Lancaster, PA 17601 Ph: (888) 985-2727 | Miss Samantha Disantis, APN 141 Bridgeton Pike Unit B, Mullica Hill, NJ 08062-2615 Ph: (856) 291-8600 |
Ashley Bartolome, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4 Burton Ln Ste 100, Mullica Hill, NJ 08062 Phone: 856-241-3838 | |
Mrs. Yadira Lopez, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 698 Mullica Hill Rd Fl 3, Mullica Hill, NJ 08062 Phone: 856-508-3708 | |
Miladys Delgado, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 698 Mullica Hill Rd Ste 330, Mullica Hill, NJ 08062 Phone: 856-508-3707 Fax: 856-221-4077 | |
Erin Beth Fiacco, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4 Burton Ln Ste 100, Mullica Hill, NJ 08062 Phone: 856-241-3838 | |
Heather Lynn Carpenito, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 698 Mullica Hill Rd Ste 330, Mullica Hill, NJ 08062 Phone: 856-845-3707 | |
Meghan Ann Mcdonald, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 698 Mullica Hill Rd, Ste 300, Mullica Hill, NJ 08062 Phone: 856-508-3575 Fax: 856-221-4101 | |
Mr. Charles Mcglade, MSN, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 Tomlin Station Rd, Mullica Hill, NJ 08062 Phone: 856-241-2500 |