Shelley Ann Nicole Pennycooke, | |
18 E Laurel Rd, Stratford, NJ 08084-1327 | |
(856) 346-7985 | |
Not Available |
Full Name | Shelley Ann Nicole Pennycooke |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Experience | 20 Years |
Location | 18 E Laurel Rd, Stratford, New Jersey |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821297938 | NPI | - | NPPES |
P00766006 | Other | NJ | RR MEDICARE |
0181943 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | PRACTICING (New Jersey) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Riverview Medical Center | Red bank, NJ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Emergency Physician Associates Of North Jersey P C | 7911992326 | 104 |
Entity Name | Emergency Physician Associates Of North Jersey P C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497783419 PECOS PAC ID: 7911992326 Enrollment ID: O20040825001558 |
Entity Name | Chambers Emergency Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053589614 PECOS PAC ID: 2860578242 Enrollment ID: O20080326000126 |
Entity Name | The Doctors Office Of Manalapan Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356604409 PECOS PAC ID: 8022268069 Enrollment ID: O20121029000009 |
Entity Name | Doctors Office Of Brick |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184067944 PECOS PAC ID: 1254575061 Enrollment ID: O20130918000138 |
Entity Name | Citylife Clinics Nj Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437649845 PECOS PAC ID: 8628408283 Enrollment ID: O20200422000830 |
Mailing Address | Practice Location Address |
---|---|
Shelley Ann Nicole Pennycooke, 18 E Laurel Rd, Stratford, NJ 08084-1327 Ph: () - | Shelley Ann Nicole Pennycooke, 18 E Laurel Rd, Stratford, NJ 08084-1327 Ph: (856) 346-7985 |
Dr. Alan Nicolo Lucerna, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 18 E Laurel Rd, Stratford, NJ 08084 Phone: 856-566-6859 | |
Dr. Eric Kyle Dichter, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Stratford, NJ 08084 Phone: 856-566-7050 | |
Dr. Kevin Thomas Dwyer, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Stratford, NJ 08084 Phone: 856-346-7985 Fax: 856-346-6573 | |
Dr. Robert John Horn, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: One Medical Center Drive, Umdnj-som, Stratford, NJ 08084 Phone: 856-566-6708 | |
Dr. Razwana Wahdat, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 18 E Laurel Rd, Stratford, NJ 08084 Phone: 856-346-7985 | |
Daniel Thomas Ellis, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 18 Laurel Rd E, Stratford, NJ 08084 Phone: 856-346-7816 Fax: 856-346-6385 | |
Dr. Charles H. Nolte, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 18 E Laurel Rd, Department Of Emergency Medicine, Stratford, NJ 08084 Phone: 856-346-1985 Fax: 856-346-6573 |