Phenita Sammantha Mouzon, in Marlton, NJ - Medicare Nurse Practitioner

Phenita Sammantha Mouzon, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Marlton, New Jersey. Her current practice location is 777 Route 70 E Ste G101, Marlton, New Jersey. You can reach out to her office (for appointments etc.) via phone at (856) 818-4020.

Phenita Sammantha Mouzon is licensed to practice in New Jersey (license number 26NJ01281000) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003563636.

Contact Information

	Phenita Sammantha Mouzon,
	777 Route 70 E Ste G101, Marlton, NJ 08053-2548
	(856) 818-4020
	Not Available

Map and Direction

Provider's Profile

Full Name	Phenita Sammantha Mouzon
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	777 Route 70 E Ste G101, Marlton, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003563636
Provider Enumeration Date: 03/03/2022
Last Update Date: 08/15/2023

Medicare PECOS Information:

PECOS PAC ID: 7315333960
Enrollment ID: I20220406003049

Medical Identifiers

Medical identifiers for Phenita Sammantha Mouzon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003563636	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	26NJ01281000 (New Jersey)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Phenita Sammantha Mouzon allows following entities to bill medicare on her behalf.

Entity Name	West Bergen Mental Healthcare Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881755973 PECOS PAC ID: 0345131272 Enrollment ID: O20040322000939

Entity Name	Stress Care Of New Jersey, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033433834 PECOS PAC ID: 5294864575 Enrollment ID: O20100525000470

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Phenita Sammantha Mouzon is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Phenita Sammantha Mouzon, 68 Woodhaven Rd, Toms River, NJ 08753-2062 Ph: (732) 998-7191	Phenita Sammantha Mouzon, 777 Route 70 E Ste G101, Marlton, NJ 08053-2548 Ph: (856) 818-4020

Reviews and Comments

Nurse Practitioner Nurses in Marlton, NJ

Dorothy Rozelle, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 Rt. 73 North, Upper Level A & Main Level, Marlton, NJ 08053 Phone: 856-988-3444
Alison Lieu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 528 Lippincott Dr, Marlton, NJ 08053 Phone: 856-983-3899
Mrs. Maribett Flores, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3000 Lincoln Dr E, Marlton, NJ 08053 Phone: 215-823-4487 Fax: 267-292-9411
Alyssa Whalen, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 141 Route 70, Suite B Renaissance Square, Marlton, NJ 08053 Phone: 856-596-9057 Fax: 856-596-0837
Mrs. Yingqiao Chen, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2003 Lincoln Dr W Ste B, Marlton, NJ 08053 Phone: 856-886-8839 Fax: 856-210-1874
Ms. Fleurdeliz Alabanzas Germodo, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 141 Route 70 E Ste B, Marlton, NJ 08053 Phone: 856-596-9057

Phenita Sammantha Mouzon, - Medicare Nurse Practitioner in Marlton, NJ