Ms Elizabeth Pavlovsky, | |
3458 Neely Rd, Jb Mdl, NJ 08641-5312 | |
(609) 754-9576 | |
Not Available |
Full Name | Ms Elizabeth Pavlovsky |
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Gender | Female |
Speciality | Nurse Practitioner - Primary Care |
Location | 3458 Neely Rd, Jb Mdl, 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 |
---|---|---|---|
1649816976 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | 26NJ00972800 (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 |
Entity Name | Rdp Consultants |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932611878 PECOS PAC ID: 8224372693 Enrollment ID: O20181212001035 |
Mailing Address | Practice Location Address |
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Ms Elizabeth Pavlovsky, 143 Ashurst Ln, Mount Holly, NJ 08060-1201 Ph: (609) 558-7551 | Ms Elizabeth Pavlovsky, 3458 Neely Rd, Jb Mdl, NJ 08641-5312 Ph: (609) 754-9576 |
Lisa Marie Bowling, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3458 Neely Rd, Jb Mdl, NJ 08641 Phone: 609-754-9576 Fax: 609-754-9015 | |
Kristina Eileen Krasznai, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3458 Neely Rd, Jb Mdl, NJ 08641 Phone: 866-377-2778 |