Lisa Palovick, CRNA | |
102e Centre Blvd, Marlton, NJ 08053-4129 | |
(856) 988-6260 | |
(856) 988-6270 |
Full Name | Lisa Palovick |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 102e Centre Blvd, Marlton, 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 |
---|---|---|---|
1083607097 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | NR65642 (New Jersey) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 26NJ00242600 (New Jersey) | Primary |
Entity Name | West Jersey Anesthesia Associate Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609861947 PECOS PAC ID: 6507859386 Enrollment ID: O20040407000191 |
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 |
Entity Name | Medikine Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447561766 PECOS PAC ID: 0446446991 Enrollment ID: O20101123000061 |
Entity Name | Shrewsbury Ambulatory Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356691885 PECOS PAC ID: 4385899962 Enrollment ID: O20130305000423 |
Mailing Address | Practice Location Address |
---|---|
Lisa Palovick, CRNA 102e Centre Blvd, Marlton, NJ 08053-4129 Ph: (856) 988-6260 | Lisa Palovick, CRNA 102e Centre Blvd, Marlton, NJ 08053-4129 Ph: (856) 988-6260 |
Judith D Larsen, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 102e Centre Blvd, Marlton, NJ 08053 Phone: 856-988-6260 Fax: 856-988-6270 | |
Mr. Darren John Reganato, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 6 Benjamin W, Marlton, NJ 08053 Phone: 856-719-2195 | |
Jenna Bloss, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 24 Willow Ridge Rd, Marlton, NJ 08053 Phone: 732-632-7948 | |
Jean Tama, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 102 Centre Blvd, Marlton, NJ 08053 Phone: 856-988-6260 Fax: 856-988-6270 | |
Jillian Scott, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 102 Centre Blvd Ste E, Marlton, NJ 08053 Phone: 856-988-6260 Fax: 856-988-6270 | |
Mrs. Catherine A Dempsey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 102 Centre Blvd Ste E, Marlton, NJ 08053 Phone: 856-988-6260 Fax: 856-988-6270 |