| Medadvance Pllc | |
|
731 Bay Ave Somers Point NJ 08244-2378 | |
| (865) 888-9958 | |
| (440) 582-3171 |
| Full Name | Medadvance Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 731 Bay Ave, Somers Point, New Jersey |
| Authorized Official Name and Position | Tracy Wimberg (VP BILLING OPERATIONS) |
| Authorized Official Contact | 6095172526 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medadvance Pllc 731 Bay Ave Somers Point NJ 08244-2378 Ph: (865) 888-9958 | Medadvance Pllc 731 Bay Ave Somers Point NJ 08244-2378 Ph: (865) 888-9958 |
| NPI Number | 1104634377 |
|---|---|
| Provider Enumeration Date | 12/20/2024 |
| Last Update Date | 05/20/2025 |
| Medicare PECOS PAC ID | 5698291078 |
|---|---|
| Medicare Enrollment ID | O20250429001553 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104634377 | NPI | - | NPPES |
| Provider Name | Ryan A Unger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891926440 PECOS PAC ID: 8628227568 Enrollment ID: I20121009000340 |
| Provider Name | Edwin P Schaumburg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770712994 PECOS PAC ID: 4486875911 Enrollment ID: I20170809004290 |
| Provider Name | Ashley Dawn Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386322774 PECOS PAC ID: 4082059811 Enrollment ID: I20240301003033 |
| Provider Name | Amanda K Radford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104695428 PECOS PAC ID: 8628500998 Enrollment ID: I20241011003444 |
| Provider Name | Kimberly Dawn Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871175273 PECOS PAC ID: 7618405440 Enrollment ID: I20250108000185 |
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