| Stacy Grace, APN | |
|
120 White Horse Pike, Suite 103, Haddon Heights, NJ 08035-1938 | |
| (856) 546-3900 | |
| Not Available |
| Full Name | Stacy Grace |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 28 Years |
| Location | 120 White Horse Pike, Haddon Heights, 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 |
|---|---|---|---|
| 1043514805 | NPI | - | NPPES |
| 8448604 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 26NO08583700 (New Jersey) | Secondary |
| 363L00000X | Nurse Practitioner | 26NN08583700 (New Jersey) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Villagehealth Dm Llc | 2769812445 | 132 |
| Villagehealth Dm Llc | 2769812445 | 132 |
| Entity Name | Villagehealth Dm Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598273211 PECOS PAC ID: 2769812445 Enrollment ID: O20200429001438 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy Grace, APN 500 Grove St, Suite 100, Haddon Heights, NJ 08035-1761 Ph: (865) 796-9207 | Stacy Grace, APN 120 White Horse Pike, Suite 103, Haddon Heights, NJ 08035-1938 Ph: (856) 546-3900 |
Angela Blomquist, RN, APN, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 119 White Horse Pike, Haddon Heights, NJ 08035 Phone: 856-547-7300 Fax: 856-547-4573 | |
Joanne R Samuel, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 210 W Atlantic Ave, Haddon Heights, NJ 08035 Phone: 856-547-0539 Fax: 856-547-3178 | |
Raluca Isenberg, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 202 4th Ave, Haddon Heights, NJ 08035 Phone: 856-547-0307 | |
Prof. Ann B Townsend, RN,CNS,C,NPC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 210 W Atlantic Ave, Haddon Heights, NJ 08035 Phone: 856-547-0539 Fax: 856-547-3178 | |
Glenda A. Solano, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 White Horse Pike, Haddon Heights, NJ 08035 Phone: 856-310-0042 Fax: 856-310-0042 | |
Renee Trotter, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 217 Black Horse Pike, Haddon Heights, NJ 08035 Phone: 888-982-8594 | |
Mrs. Mary Jane Kopakowski, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 W Atlantic Ave, Haddon Heights, NJ 08035 Phone: 856-546-3003 Fax: 856-547-3178 |