Destiny Michele Dibona, AGACNP-BC | |
151 Fries Mill Rd Ste 301, Turnersville, NJ 08012-2016 | |
(856) 374-1881 | |
Not Available |
Full Name | Destiny Michele Dibona |
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Gender | Female |
Speciality | Nurse Practitioner - Acute Care |
Location | 151 Fries Mill Rd Ste 301, Turnersville, 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 |
---|---|---|---|
1467094987 | NPI | - | NPPES |
0712582 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | 26NJ00933100 (New Jersey) | Primary |
Entity Name | Kennedy Medical Group Practice, P.c. |
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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 |
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Destiny Michele Dibona, AGACNP-BC 151 Fries Mill Rd Ste 301, Turnersville, NJ 08012-2016 Ph: () - | Destiny Michele Dibona, AGACNP-BC 151 Fries Mill Rd Ste 301, Turnersville, NJ 08012-2016 Ph: (856) 374-1881 |
Rebecca Eirich, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 188 Fries Mill Rd, Suite A-2, Turnersville, NJ 08012 Phone: 856-875-6895 Fax: 856-262-1635 | |
Patricia M Stoughton, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4361 Route 42, Turnersville, NJ 08012 Phone: 856-885-4579 | |
Erin Marie Caruso, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 435 Hurffville Cross Keys Rd, Turnersville, NJ 08012 Phone: 856-513-4124 Fax: 856-302-5932 | |
Dennis Baker, APN-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 151 Fries Mill Rd Ste 104, Turnersville, NJ 08012 Phone: 856-312-3057 | |
Mrs. Meshell Glasgow Mansor, APN-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4361 Route 42, Turnersville, NJ 08012 Phone: 856-885-4579 Fax: 856-885-4582 | |
Marva Mitchell-sprual, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4361 Route 42, Turnersville, NJ 08012 Phone: 856-885-4579 Fax: 856-885-4582 | |
Christina J Mach, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1a Regulus Drive, Turnersville, NJ 08012 Phone: 844-542-2273 Fax: 856-256-7518 |