Tara L Wyche-bullock, MD | |
485 Williamstown Rd, Sicklerville, NJ 08081-1777 | |
(856) 237-8100 | |
(856) 237-8042 |
Full Name | Tara L Wyche-bullock |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 23 Years |
Location | 485 Williamstown Rd, Sicklerville, 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 |
---|---|---|---|
1720008931 | NPI | - | NPPES |
2030554 | Other | NJ | CIGNA |
304846 | Other | NJ | AMERIGROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 25MA07694800 (New Jersey) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Inspira Medical Center Elmer | Elmer, NJ | Hospital |
Inspira Medical Center Vineland | Vineland, NJ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Inspira Health Network Medical Group Pc | 4880797570 | 161 |
Entity Name | Inspira Health Network Medical Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922177856 PECOS PAC ID: 4880797570 Enrollment ID: O20070319000280 |
Mailing Address | Practice Location Address |
---|---|
Tara L Wyche-bullock, MD 155 Bridgeton Pike, Mullica Hill, NJ 08062-2669 Ph: (856) 223-0500 | Tara L Wyche-bullock, MD 485 Williamstown Rd, Sicklerville, NJ 08081-1777 Ph: (856) 237-8100 |
Ms. Josette C Palmer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 416 Sicklerville Rd, Suite A1, Sicklerville, NJ 08081 Phone: 856-723-8100 Fax: 856-723-8107 | |
Dr. Karen Ann Calabrese, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Berlin Cross Keys Rd, Sicklerville, NJ 08081 Phone: 856-536-1515 | |
Dr. Harry Walton Sharp Jr., D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 524 Williamstown Rd Ste A, Sicklerville, NJ 08081 Phone: 856-728-1181 Fax: 856-728-1182 | |
Ravi P. Desai, D.O., M.S. Family Medicine Medicare: Medicare Enrolled Practice Location: 485 Williamstown Rd, Sicklerville, NJ 08081 Phone: 856-237-8100 |