Tamara Anne Lacouture, MD | |
900 Medical Center Dr Ste 100, Sewell, NJ 08080 | |
(856) 582-3008 | |
Not Available |
Full Name | Tamara Anne Lacouture |
---|---|
Gender | Female |
Speciality | Radiation Oncology |
Experience | 30 Years |
Location | 900 Medical Center Dr Ste 100, Sewell, 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 |
---|---|---|---|
1740287721 | NPI | - | NPPES |
7990405 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0203X | Radiology - Therapeutic Radiology | 25MA06314000 (New Jersey) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Jefferson Stratford Hospital | Stratford, NJ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kennedy Medical Group Practice, P.c. | 2860616877 | 310 |
Entity Name | Radiation Oncology Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154369163 PECOS PAC ID: 6305747601 Enrollment ID: O20040120000092 |
Entity Name | Kennedy Medical Group Practice, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952726796 PECOS PAC ID: 2860616877 Enrollment ID: O20140613000689 |
Mailing Address | Practice Location Address |
---|---|
Tamara Anne Lacouture, MD 900 Medical Center Dr Ste 100, Sewell, NJ 08080-2358 Ph: (856) 582-3008 | Tamara Anne Lacouture, MD 900 Medical Center Dr Ste 100, Sewell, NJ 08080 Ph: (856) 582-3008 |
William Ross Green, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 900 Medical Center Dr Ste 100, Sewell, NJ 08080 Phone: 856-582-3008 | |
Dr. Carolyn J Horowitz, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 900 Medical Center Dr, Suite 100, Sewell, NJ 08080 Phone: 856-582-3008 Fax: 856-582-3009 | |
Dr. Hekmat Khodr Zarzour, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 445 Hurffville Crosskeys Rd, Suite B16, Sewell, NJ 08080 Phone: 856-256-7591 | |
John R Glassburn, MD Radiology Medicare: Medicare Enrolled Practice Location: 900 Medical Center Dr, Suite 100, Sewell, NJ 08080 Phone: 856-582-3008 Fax: 856-582-3009 | |
Dane Ryan Cohen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 900 Medical Center Dr Ste 100, Sewell, NJ 08080 Phone: 856-582-3008 |