Lisa Kunkle, PA-C is a medicare enrolled "Physician Assistant - Medical" in Wenonah, New Jersey. She went to Drexel University College Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Cooper Care Alliance, Pc and her current practice location is
107 E Mantua Ave, Wenonah, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(856) 468-6868.
Lisa Kunkle is licensed to practice in New Jersey (license number MP000802) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1568494797.
Provider's Profile
| Full Name | Lisa Kunkle |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 23 Years |
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| Location | 107 E Mantua Ave, Wenonah, New Jersey |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Lisa Kunkle attended and graduated from Drexel University College Of Medicine in 2001
NPI Data:
- NPI Number: 1568494797
- Provider Enumeration Date: 07/07/2006
- Last Update Date: 11/23/2010
Medicare PECOS Information:
- PECOS PAC ID: 3072601418
- Enrollment ID: I20071119000011
Medical Identifiers
Medical identifiers for Lisa Kunkle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568494797 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | MP000802 (New Jersey) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Cooper Care Alliance, Pc | 5890110563 | 65 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Kunkle is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Lisa Kunkle, PA-C
622 Kings Hwy,
Mickleton, NJ 08056-1404
Ph: (856) 332-5613 | Lisa Kunkle, PA-C
107 E Mantua Ave,
Wenonah, NJ 08090-1950
Ph: (856) 468-6868 |
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