| Mobile Physician Group, PC | |
|
231 High St Fl 1 Mount Holly NJ 08060-1450 | |
| (609) 534-5998 | |
| (609) 488-6023 |
| Full Name | Mobile Physician Group, PC |
|---|---|
| Speciality | Family Medicine |
| Location | 231 High St Fl 1, Mount Holly, New Jersey |
| Authorized Official Name and Position | Carolyn M Cavuto-carnivale (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6095345998 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Physician Group, PC 231 High St Fl 1 Mount Holly NJ 08060-1450 Ph: (609) 534-5998 | Mobile Physician Group, PC 231 High St Fl 1 Mount Holly NJ 08060-1450 Ph: (609) 534-5998 |
| NPI Number | 1750647715 |
|---|---|
| Provider Enumeration Date | 04/04/2012 |
| Last Update Date | 05/31/2012 |
| Medicare PECOS PAC ID | 9234392903 |
|---|---|
| Medicare Enrollment ID | O20120516000087 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750647715 | NPI | - | NPPES |
| 0289736 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MB63668 (New Jersey) | Primary |
| Provider Name | Carolyn M. Cavuto Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295720035 PECOS PAC ID: 7214007517 Enrollment ID: I20080529000290 |
| Provider Name | Catherine a Losse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548378748 PECOS PAC ID: 7113191941 Enrollment ID: I20111114000237 |
| Provider Name | Ladawna R Leeth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306212774 PECOS PAC ID: 2668777061 Enrollment ID: I20160223001507 |
| Provider Name | Courtney Jay Tarpy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790295608 PECOS PAC ID: 0345503421 Enrollment ID: I20180718002942 |
| Provider Name | Nicole Marie Carnivale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285410399 PECOS PAC ID: 0345694147 Enrollment ID: I20230927004090 |
Illiad Inpatient Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 175 Madison Ave, Mount Holly, NJ 08060 Phone: 484-454-6262 Fax: 610-789-6158 |
Dr. Philip H. Varner Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Madison Ave, Mount Holly, NJ 08060 Phone: 609-702-9103 Fax: 609-702-9122 |
Medical Providers on the Go Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 231 High St, Suite 1, Mount Holly, NJ 08060 Phone: 609-534-5998 Fax: 609-488-6023 |