| Tracy Anselmo, APN | |
|
4401 Ventnor Ave Ste 3, Atlantic City, NJ 08401-5736 | |
| (603) 345-2050 | |
| (609) 345-2052 |
| Full Name | Tracy Anselmo |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 4401 Ventnor Ave Ste 3, Atlantic City, 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 |
|---|---|---|---|
| 1962980862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 26NJ00842200 (New Jersey) | Primary |
| Entity Name | Ra Pain Services Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396802658 PECOS PAC ID: 1850360736 Enrollment ID: O20040928000460 |
| Entity Name | Medical Service Professionals Of Nj Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972044923 PECOS PAC ID: 9931473139 Enrollment ID: O20170927002286 |
| Entity Name | Act On Total Health Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952992455 PECOS PAC ID: 6608284674 Enrollment ID: O20210413001435 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Anselmo, APN 4401 Ventnor Ave Ste 3, Atlantic City, NJ 08401-5736 Ph: (609) 345-2050 | Tracy Anselmo, APN 4401 Ventnor Ave Ste 3, Atlantic City, NJ 08401-5736 Ph: (603) 345-2050 |
Mr. Matthew R Soos, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1925 Pacific Ave, Atlantic City, NJ 08401 Phone: 609-572-8600 | |
Juliana Ali, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1925 Pacific Ave, Atlantic City, NJ 08401 Phone: 609-345-4000 | |
Helene E Fedele, ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2922 Atlantic Ave, 2nd Floor, Atlantic City, NJ 08401 Phone: 609-437-2020 Fax: 609-345-4290 | |
Nediya Griffith, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2009 Bacharach Blvd, Atlantic City, NJ 08401 Phone: 609-344-5714 Fax: 609-575-6033 | |
Marisa B Scibilia, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1925 Pacific Ave., Atlantic City, NJ 08401 Phone: 609-441-8023 | |
Maria B Bolonski, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1925 Pacific Ave, Atlantic City, NJ 08401 Phone: 609-345-4000 | |
Debra Walters-olaru, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 801 Boardwalk, Showboat Wellness Center, Atlantic City, NJ 08401 Phone: 609-343-4003 |