| Timyra Lister, APN | |
|
360 Route 73 S, Marlton, NJ 08053-2004 | |
| (866) 389-2727 | |
| Not Available |
| Full Name | Timyra Lister |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 360 Route 73 S, Marlton, 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 |
|---|---|---|---|
| 1689432171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 26NJ15028800 (New Jersey) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Minuteclinic Diagnostic Of New Jersey Llc | 8527142439 | 112 |
| Entity Name | Community Health Care, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700816816 PECOS PAC ID: 9335040419 Enrollment ID: O20040402000981 |
| Entity Name | Minuteclinic Diagnostic of New Jersey LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053353615 PECOS PAC ID: 8527142439 Enrollment ID: O20080229000382 |
| Entity Name | Signify Health Medical Associates of New Jersey LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174187728 PECOS PAC ID: 4284966896 Enrollment ID: O20191031002559 |
| Entity Name | Minuteclinic Primary Care New Jersey LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174331524 PECOS PAC ID: 9931617578 Enrollment ID: O20250805000278 |
| Mailing Address | Practice Location Address |
|---|---|
| Timyra Lister, APN 360 Route 73 S, Marlton, NJ 08053-2004 Ph: (866) 389-2727 | Timyra Lister, APN 360 Route 73 S, Marlton, NJ 08053-2004 Ph: (866) 389-2727 |
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 |
Phenita Sammantha Mouzon, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 777 Route 70 E Ste G101, Marlton, NJ 08053 Phone: 856-818-4020 |
Darnell Stith Jr., APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 Route 73 N, Marlton, NJ 08053 Phone: 856-988-3444 Fax: 856-988-0553 |
Alison Lieu, Nurse Practitioner Medicare: May Accept Medicare Assignments 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 |