| Mr Peter A Keklak, PA | |
|
3205 Fire Rd, Egg Harbor Twp, NJ 08234-5884 | |
| (029) 407-1220 | |
| (609) 407-0220 |
| Full Name | Mr Peter A Keklak |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 3205 Fire Rd, Egg Harbor Twp, 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 |
|---|---|---|---|
| 1760588669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 25MP00051000 (New Jersey) | Primary |
| Entity Name | Cmc Department of Medicine Group PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609908094 PECOS PAC ID: 2163335878 Enrollment ID: O20050104000343 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Peter A Keklak, PA 1 Federal St Ste 200, Camden, NJ 08103-1088 Ph: (848) 288-6935 | Mr Peter A Keklak, PA 3205 Fire Rd, Egg Harbor Twp, NJ 08234-5884 Ph: (029) 407-1220 |
Gabrielle Caucci Mcintyre, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2500 English Creek Ave Ste 1300, Egg Harbor Twp, NJ 08234 Phone: 800-321-9999 Fax: 267-479-1321 |
Michael Sharp, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2500 English Creek Avenue, Bldg 1300, Egg Harbor Twp, NJ 08234 Phone: 800-321-9999 Fax: 267-479-1321 |
Stephen P. Palumbo, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2500 English Creek Ave Ste 1300, Egg Harbor Twp, NJ 08234 Phone: 800-321-9999 Fax: 267-479-1321 |
Nicholas J Coia Iii, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 2500 English Creek Ave, Bldg 1300, Egg Harbor Twp, NJ 08234 Phone: 800-321-9999 |
Katherine Ann Worthington, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2500 English Creek Ave, Bldg 800, Egg Harbor Twp, NJ 08234 Phone: 800-321-9999 Fax: 609-677-6061 |
Jonathan Andrew Godfrey, PA C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2500 English Creek Ave Ste 908, Egg Harbor Twp, NJ 08234 Phone: 609-677-7200 Fax: 609-677-7201 |
Jena Clare Caiazza, MSPA, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2500 English Creek Ave Bldg 12002nd, Egg Harbor Twp, NJ 08234 Phone: 609-833-9833 |