| Mr William Bedsole, NP | |
|
61 W. Jimmie Leeds Road, Pomona, NJ 08240-0723 | |
| (609) 652-7000 | |
| (609) 748-7755 |
| Full Name | Mr William Bedsole |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 61 W. Jimmie Leeds Road, Pomona, 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 |
|---|---|---|---|
| 1386715274 | NPI | - | NPPES |
| 0204625 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | NC07397000 (New Jersey) | Primary |
| Entity Name | Smithville Medical Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295727576 PECOS PAC ID: 0244247054 Enrollment ID: O20060320000033 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr William Bedsole, NP 61 W. Jimmie Leeds Road, Pomona, NJ 08240-0723 Ph: (609) 652-7000 | Mr William Bedsole, NP 61 W. Jimmie Leeds Road, Pomona, NJ 08240-0723 Ph: (609) 652-7000 |
Sara M Neyers, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Jimmie Leeds Road, Atlanticare Regional Medical Center, Pomona, NJ 08240 Phone: 609-652-1000 | |
Jillian Ullo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 65 W Jimmie Leeds Rd, Pomona, NJ 08240 Phone: 609-748-7089 | |
Phillip Campanella, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 65 W Jimmie Leeds Rd, Pomona, NJ 08240 Phone: 609-652-1000 | |
Ms. Tammy Delores Hart, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 65 W Jimmie Leeds Rd, Pomona, NJ 08240 Phone: 609-652-1000 | |
Amy Dow, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 65 W Jimmie Leeds Rd, Pomona, NJ 08240 Phone: 609-652-1000 | |
Cory Robert Hall, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 65 W Jimmie Leeds Rd, Pomona, NJ 08240 Phone: 609-652-1000 | |
Conrado Manalo Sampedro, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 65 W Jimmie Leeds Rd, Pomona, NJ 08240 Phone: 609-652-1000 |