Elissa Ann Favata, MD is a medicare enrolled "Preventive Medicine - Preventive Medicine/occupational Environmental Medicine" physician in Cherry Hill, New Jersey. Her current practice location is
1401 Route 70 East, Suite 14, South Jersey Medical Center, Cherry Hill, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(856) 216-1100.
Elissa Ann Favata is licensed to practice in New Jersey (license number 25MA04036200) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1619039971.
Physician's Profile
Full Name | Elissa Ann Favata |
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Gender | Female |
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Speciality | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine |
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Location | 1401 Route 70 East, Suite 14, Cherry Hill, New Jersey |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1619039971
- Provider Enumeration Date: 12/14/2006
- Last Update Date: 07/11/2007
Medicare PECOS Information:
- PECOS PAC ID: 8022919109
- Enrollment ID: I20050926000084
Medical Identifiers
Medical identifiers for Elissa Ann Favata such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619039971 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 25MA04036200 (New Jersey) | Secondary |
2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | 25MA04036200 (New Jersey) | Primary |
207R00000X | Internal Medicine | MD046205L (Pennsylvania) | Secondary |
2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | MD046205L (Pennsylvania) | Secondary |
207R00000X | Internal Medicine | C1-0004751 (Delaware) | Secondary |
2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | C1-0004751 (Delaware) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Elissa Ann Favata is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Elissa Ann Favata, MD 1401 Route 70 East, Suite 14, South Jersey Medical Center, Cherry Hill, NJ 08034 Ph: (856) 216-1100 | Elissa Ann Favata, MD 1401 Route 70 East, Suite 14, South Jersey Medical Center, Cherry Hill, NJ 08034 Ph: (856) 216-1100 |
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