Courtney Destefano, | |
994 W Sherman Ave Bldg 2, Vineland, NJ 08360-6937 | |
(631) 534-7246 | |
Not Available |
Full Name | Courtney Destefano |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 994 W Sherman Ave Bldg 2, Vineland, 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 |
---|---|---|---|
1780219410 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 26NJ01015900 (New Jersey) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pulse Vascular Llc | 7618219361 | 20 |
Entity Name | Community Health Care, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700816816 PECOS PAC ID: 9335040419 Enrollment ID: O20040402000981 |
Entity Name | Pulse Vascular Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255899704 PECOS PAC ID: 7618219361 Enrollment ID: O20190429000797 |
Entity Name | Samaritan Homevisit Physicians Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366088858 PECOS PAC ID: 8820423163 Enrollment ID: O20200115001513 |
Mailing Address | Practice Location Address |
---|---|
Courtney Destefano, 834 Chestnut St Ph 201, Philadelphia, PA 19107-5147 Ph: (267) 275-7296 | Courtney Destefano, 994 W Sherman Ave Bldg 2, Vineland, NJ 08360-6937 Ph: (631) 534-7246 |
Brian Hugh Shannon, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1138 E Chestnut Ave Ste 8b, Vineland, NJ 08360 Phone: 856-213-9733 Fax: 856-575-5080 | |
Donna Gibson, RN, APNC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1505 W Sherman Ave, Vineland, NJ 08360 Phone: 856-641-8000 | |
Erika Charlene Cruz, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1505 W Sherman Ave, Vineland, NJ 08360 Phone: 856-641-8000 | |
Angel Antonio Ramos, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1051 W Sherman Ave, Vineland, NJ 08360 Phone: 631-534-7246 | |
Anastasia Abena Amponsah, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 994 W Sherman Ave Bldg 2, Vineland, NJ 08360 Phone: 856-288-1281 | |
Miss Suzett Simone Shaw, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2445 S Delsea Dr, Inspira Life Vineland, Vineland, NJ 08360 Phone: 856-334-1961 | |
Marcia Montanez Cathey, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3403 S Delsea Dr, Vineland, NJ 08360 Phone: 856-293-6974 |