| Jamie Petkovic, APN | |
|
354 Hurffville Crosskeys Rd Bldg 2, Sewell, NJ 08080-3550 | |
| (856) 582-0381 | |
| (844) 542-2273 |
| Full Name | Jamie Petkovic |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 354 Hurffville Crosskeys Rd Bldg 2, Sewell, 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 |
|---|---|---|---|
| 1205425204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 26NJ01094100 (New Jersey) | Primary |
| Entity Name | Sovereign Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710282082 PECOS PAC ID: 1456535392 Enrollment ID: O20110418000519 |
| Mailing Address | Practice Location Address |
|---|---|
| Jamie Petkovic, APN 354 Hurffville Crosskeys Rd Bldg 2, Sewell, NJ 08080-3550 Ph: (856) 582-0381 | Jamie Petkovic, APN 354 Hurffville Crosskeys Rd Bldg 2, Sewell, NJ 08080-3550 Ph: (856) 582-0381 |
Gloria L Jackson, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 900 Medical Center Dr Ste 200, Sewell, NJ 08080 Phone: 856-557-7900 | |
Rosalin Ivanay Thompson-cordoba, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 239 Hurffville Crosskeys Rd Ste 2, Sewell, NJ 08080 Phone: 856-262-8300 | |
Ms. Alaina Marie Guiliana, FNP-BC RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 307 Egg Harbor Rd, Sewell, NJ 08080 Phone: 186-638-9272 | |
Mr. Michael Joseph Kinney, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 405 Hurffville Crosskeys Rd Ste 203, Sewell, NJ 08080 Phone: 856-582-0033 Fax: 856-582-2305 | |
Parminder Bath Sohal, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 900 Medical Center Dr Ste 200, Sewell, NJ 08080 Phone: 856-557-7900 | |
Dawn Topper, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Kings Way E Ste B1, Sewell, NJ 08080 Phone: 856-536-1515 Fax: 856-412-5324 | |
Mrs. Lisa Elizabeth Pope, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 555 Egg Harbor Rd, Sewell, NJ 08080 Phone: 856-582-2500 |