| Russell Little, APN | |
|
175 Cross Keys Rd, Bldg. 300a, Berlin, NJ 08009-9263 | |
| (856) 767-0077 | |
| (856) 767-6102 |
| Full Name | Russell Little |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 175 Cross Keys Rd, Berlin, 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 |
|---|---|---|---|
| 1336518778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 26NJ00589900 (New Jersey) | Primary |
| Entity Name | Advocare , Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770538696 PECOS PAC ID: 3678562188 Enrollment ID: O20040510001217 |
| Entity Name | Outreach Recovery Ii, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427541838 PECOS PAC ID: 5294166302 Enrollment ID: O20210308000369 |
| Mailing Address | Practice Location Address |
|---|---|
| Russell Little, APN 175 Cross Keys Rd, Bldg. 300a, Berlin, NJ 08009-9263 Ph: (856) 767-0077 | Russell Little, APN 175 Cross Keys Rd, Bldg. 300a, Berlin, NJ 08009-9263 Ph: (856) 767-0077 |
Joanne M Tobiasz, APN-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 175 Cross Keys Rd Ste 300a, Berlin, NJ 08009 Phone: 856-767-0077 | |
Katarina Marie Allgood, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15 E Taunton Ave, Berlin, NJ 08009 Phone: 856-767-0320 | |
Karen Gudrun Barton, RNC, MS, CRNP, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 181 W White Horse Pike Ste 100, Berlin, NJ 08009 Phone: 856-767-3234 Fax: 856-767-3518 | |
Mrs. Leslie Anne Yerkes, MSN, RN, APN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 175 Cross Keys Rd Ste 300a, Berlin, NJ 08009 Phone: 856-767-0077 | |
Kathryn L. D'angelo, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 181 W White Horse Pike, Suite 100, Berlin, NJ 08009 Phone: 856-767-3234 Fax: 856-767-3518 | |
Nicholas Kline Garcia, BSN APRN PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 147 Jackson Rd, Berlin, NJ 08009 Phone: 856-809-3000 |