Tammy Ivers, | |
671 Hoes Ln W, Piscataway, NJ 08854-8021 | |
(855) 515-5700 | |
Not Available |
Full Name | Tammy Ivers |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 671 Hoes Ln W, Piscataway, 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 |
---|---|---|---|
1922618230 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 37PC00632400 (New Jersey) | Primary |
Entity Name | Stacey Nicholas Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376843615 PECOS PAC ID: 9931503406 Enrollment ID: O20210805000190 |
Mailing Address | Practice Location Address |
---|---|
Tammy Ivers, 671 Hoes Ln W, Piscataway, NJ 08854-8021 Ph: (855) 515-5700 | Tammy Ivers, 671 Hoes Ln W, Piscataway, NJ 08854-8021 Ph: (855) 515-5700 |
Bruna Fernandes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 671 Hoes Ln W, Piscataway, NJ 08854 Phone: 800-969-5300 | |
Mrs. Cindy Gil-rampersad, Counselor Medicare: Not Enrolled in Medicare Practice Location: 151 Centennial Ave, Piscataway, NJ 08854 Phone: 732-235-3289 | |
William K Coimin, COUNSELOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 671 Hoes Ln W, Piscataway, NJ 08854 Phone: 732-235-3289 | |
Ms. Dashua Unita Hinton, M.S.,LRC, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 671 Hoes Ln W, Piscataway, NJ 08854 Phone: 732-235-5705 | |
Ms. Stella K Adjei, Counselor Medicare: Not Enrolled in Medicare Practice Location: 60 Coventry Cir, Piscataway, NJ 08854 Phone: 732-910-9050 | |
Coco Kuebler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 671 Hoes Ln W, Piscataway, NJ 08854 Phone: 732-434-8217 | |
Mr. William Burke, Counselor Medicare: Not Enrolled in Medicare Practice Location: 671 Hoes Ln, Piscataway, NJ 08854 Phone: 800-969-5300 |