| Mrs Tara Lynn Pettit, CRNA, MSN | |
|
1 Cooper Plz, Camden, NJ 08103-1461 | |
| (856) 342-2425 | |
| Not Available |
| Full Name | Mrs Tara Lynn Pettit |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 8 Years |
| Location | 1 Cooper Plz, Camden, 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 |
|---|---|---|---|
| 1205155223 | NPI | - | NPPES |
| NJ00305300 | Other | NJ | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 26NR11265000 (New Jersey) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | NJ00305300 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Inspira Medical Center Elmer | Elmer, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Parkway Anesthesia Associates Llc | 2567758931 | 309 |
| Ultracare Anesthesia Partners Llc | 4082920525 | 80 |
| Entity Name | Cooper Anesthesia Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447207147 PECOS PAC ID: 1254236672 Enrollment ID: O20031126000651 |
| Entity Name | Chc Pain Management Center, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538109913 PECOS PAC ID: 0648265777 Enrollment ID: O20040419000397 |
| Entity Name | North American Partners In Anesthesia Of New Jersey Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548433048 PECOS PAC ID: 5890867410 Enrollment ID: O20080626000318 |
| Entity Name | Ultracare Anesthesia Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407236110 PECOS PAC ID: 4082920525 Enrollment ID: O20170120001132 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Tara Lynn Pettit, CRNA, MSN 1 Federal St Ste Sw200, Camden, NJ 08103-1155 Ph: (856) 356-4924 | Mrs Tara Lynn Pettit, CRNA, MSN 1 Cooper Plz, Camden, NJ 08103-1461 Ph: (856) 342-2425 |
Melanie Lafferty, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Cooper Plz, Camden, NJ 08103 Phone: 856-963-6770 | |
Winter E. Skelly, CRNA, APN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Cooper Plz Dept Of, Camden, NJ 08103 Phone: 856-342-2425 | |
Balaishe Boakai Ballo, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Haddon Ave Fl 3, Camden, NJ 08103 Phone: 856-988-6260 Fax: 856-988-6270 | |
Michael Phillip Hoess, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Cooper Plz, Camden, NJ 08103 Phone: 856-342-2425 | |
Amy Tsao, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Cooper Plz Dept Of, Camden, NJ 08103 Phone: 856-382-6500 | |
Maria Dinnah Eclavia-dy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Cooper Plz, Cooper Anesthesia Associates, Camden, NJ 08103 Phone: 856-342-2425 | |
Laura Faust, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Cooper Plz Dept Of, Camden, NJ 08103 Phone: 856-342-2425 |