Bethany Renee Canver, MD | |
390 N Broadway Bldg Ste 100, Pennsville, NJ 08070-1253 | |
(856) 678-6411 | |
Not Available |
Full Name | Bethany Renee Canver |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 390 N Broadway Bldg Ste 100, Pennsville, 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 |
---|---|---|---|
1255820841 | NPI | - | NPPES |
008056168 | Medicaid | CT | |
008039745 | Medicaid | CT | |
008068298 | Medicaid | CT | |
008056033 | Medicaid | CT | |
008103365 | Medicaid | CT | |
004217099 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 25MA11541400 (New Jersey) | Primary |
Entity Name | Cooper Family Medicine Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649217175 PECOS PAC ID: 4284530197 Enrollment ID: O20080417000457 |
Mailing Address | Practice Location Address |
---|---|
Bethany Renee Canver, MD 1 Federal St Ste 200, Camden, NJ 08103-1088 Ph: (848) 288-6935 | Bethany Renee Canver, MD 390 N Broadway Bldg Ste 100, Pennsville, NJ 08070-1253 Ph: (856) 678-6411 |
Ashoke K Deb, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 390 N Broadway Ste 100, Pennsville, NJ 08070 Phone: 856-678-6411 Fax: 856-678-7509 | |
Dr. Daniel Earl Shufler, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 48 North Broadway, Suite D, Pennsville, NJ 08070 Phone: 856-678-5252 Fax: 856-678-2333 |