| Amanda Rota, | |
|
100 Bowman Dr Fl 2, Voorhees, NJ 08043-9612 | |
| (856) 988-6260 | |
| Not Available |
| Full Name | Amanda Rota |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 100 Bowman Dr Fl 2, Voorhees, 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 |
|---|---|---|---|
| 1316723216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 26NR18949800 (New Jersey) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 26NR18949800 (New Jersey) | Primary |
| Entity Name | Virtua Medical Group, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649226515 PECOS PAC ID: 9830222397 Enrollment ID: O20100804000338 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Rota, 301 Lippincott Dr Ste 410, Marlton, NJ 08053-4197 Ph: (856) 355-0340 | Amanda Rota, 100 Bowman Dr Fl 2, Voorhees, NJ 08043-9612 Ph: (856) 988-6260 |
Grigoriy Levin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2301 Evesham Rd., Voorhees, NJ 08043 Phone: 856-358-4520 Fax: 856-358-8053 | |
Christopher Anders Milton, CRNA, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 136 Route 73 Ste A, Voorhees, NJ 08043 Phone: 877-388-2778 Fax: 856-424-7529 | |
Patricia M Manderbaugh, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Bowman Dr Fl 2, Voorhees, NJ 08043 Phone: 856-988-6260 | |
Mrs. Shannon Mary Berks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 502 Centennial Blvd Ste 1, Voorhees, NJ 08043 Phone: 856-874-0790 | |
Mary Gibson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2301 E Evesham Rd, Voorhees, NJ 08043 Phone: 856-358-4520 Fax: 856-358-8053 | |
Miss Rachel Ferrer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Bowman Dr Fl 2, Voorhees, NJ 08043 Phone: 856-988-6260 | |
Michael Saveriano, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4 Fawnwood Dr, Voorhees, NJ 08043 Phone: 609-841-3049 |