| Samantha Bornhardt, | |
|
1410 Delsea Dr, Deptford, NJ 08096-4101 | |
| (856) 579-8897 | |
| Not Available |
| Full Name | Samantha Bornhardt |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 1410 Delsea Dr, Deptford, 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 |
|---|---|---|---|
| 1134869969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 25MP00728900 (New Jersey) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hospital Of Univ Of Pennsylvania | Philadelphia, PA | Hospital |
| Penn Presbyterian Medical Center | Philadelphia, PA | Hospital |
| Pennsylvania Hospital | Philadelphia, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Penn-medical Group | 6204730955 | 3433 |
| Entity Name | University of Penn - Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235527342 PECOS PAC ID: 6204730955 Enrollment ID: O20141111000091 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Bornhardt, 1410 Delsea Dr, Deptford, NJ 08096-4101 Ph: Not Available | Samantha Bornhardt, 1410 Delsea Dr, Deptford, NJ 08096-4101 Ph: (856) 579-8897 |
Brenna Anne Eadie, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1132 Cooper St, Deptford, NJ 08096 Phone: 856-848-8060 |
Nicole Jones, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1450 Almonesson Rd Ste 275, Deptford, NJ 08096 Phone: 856-223-0965 Fax: 856-223-1044 |
Malky Fetman, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1511 Clements Bridge Rd, Deptford, NJ 08096 Phone: 856-845-9400 |
Giankarlos Rodriguez, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1410 Delsea Dr, Deptford, NJ 08096 Phone: 856-579-8897 |
Sarah Von Lange, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1132 Cooper St, Deptford, NJ 08096 Phone: 856-848-8060 |