| Mr Kenneth James Powell Iii, | |
|
18 E Laurel Rd, Stratford, NJ 08084-1327 | |
| (856) 346-6000 | |
| Not Available |
| Full Name | Mr Kenneth James Powell Iii |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 18 E Laurel Rd, Stratford, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902558364 | NPI | - | NPPES |
| 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 | 350 |
| 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 |
|---|---|
| Mr Kenneth James Powell Iii, 18 E Laurel Rd, Stratford, NJ 08084-1327 Ph: () - | Mr Kenneth James Powell Iii, 18 E Laurel Rd, Stratford, NJ 08084-1327 Ph: (856) 346-6000 |
Trisha Anne Hoban, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 42 E Laurel Rd Ste 3500, Stratford, NJ 08084 Phone: 856-566-7040 Fax: 856-566-6826 | |
Deborah Ann Klaszky, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 42 E Laurel Rd, Udp #1800, Stratford, NJ 08084 Phone: 856-566-6843 Fax: 856-566-6419 | |
Michelle Guida, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 42 E Laurel Rd Ste 1700, Stratford, NJ 08084 Phone: 856-566-7010 Fax: 856-566-6956 | |
Patricia M Haggerty, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 42 E Laurel Rd, Udp #1800, Stratford, NJ 08084 Phone: 856-566-6843 Fax: 856-566-6419 | |
Mrs. Cindy Louise Nolan, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 42 E Laurel Rd Ste 1800, Stratford, NJ 08084 Phone: 856-566-6843 Fax: 856-566-6419 | |
Ms. Christina Hull, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18 E Laurel Rd, Stratford, NJ 08084 Phone: 856-513-4124 Fax: 856-302-5932 | |
Kimberly A Covington, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 42 E Laurel Rd Ste 1800, Stratford, NJ 08084 Phone: 856-566-6843 Fax: 856-566-6419 |