Lisa Wydra, | |
3391 Highway 35, Hazlet, NJ 07730-1521 | |
(732) 888-8299 | |
Not Available |
Full Name | Lisa Wydra |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 15 Years |
Location | 3391 Highway 35, Hazlet, 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 |
---|---|---|---|
1780916916 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 26NJ00285700 (New Jersey) | Secondary |
363LF0000X | Nurse Practitioner - Family | 26NR09130100 (New Jersey) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ocean Allergy Partners, Llc | 0345636510 | 4 |
Entity Name | Minuteclinic Diagnostic Of New Jersey Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053353615 PECOS PAC ID: 8527142439 Enrollment ID: O20080229000382 |
Entity Name | Ocean Allergy Partners, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821753849 PECOS PAC ID: 0345636510 Enrollment ID: O20220416000018 |
Mailing Address | Practice Location Address |
---|---|
Lisa Wydra, 3391 Highway 35, Hazlet, NJ 07730-1521 Ph: (732) 888-8299 | Lisa Wydra, 3391 Highway 35, Hazlet, NJ 07730-1521 Ph: (732) 888-8299 |
Mr. Misael Dimatulac, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 43 Maple Dr, Hazlet, NJ 07730 Phone: 646-525-9621 | |
Sheryl Cekot, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1376 State Route 36, Hazlet, NJ 07730 Phone: 732-264-5500 | |
Amy Christina Guarcello, MSN APRN FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7 Boyd Rd, Hazlet, NJ 07730 Phone: 646-574-9248 | |
Mrs. Erin Lacey, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 14 Greenway St, Hazlet, NJ 07730 Phone: 908-461-3294 | |
Glynda Rose Daradar, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18 Tallen Dr, Hazlet, NJ 07730 Phone: 732-264-4562 | |
Dr. Morgan Edward Bardall, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 41 Village Ct, Hazlet, NJ 07730 Phone: 908-297-8849 Fax: 231-251-8123 | |
Mrs. Jennifer Stigler, APN-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3 Otter St, Hazlet, NJ 07730 Phone: 732-778-8544 |