Ms Mackenzie L Juckett, MS,APN | |
5 Eves Drive, Suite 300, Marlton, NJ 08053 | |
(856) 596-1600 | |
(856) 552-3218 |
Full Name | Ms Mackenzie L Juckett |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 5 Eves Drive, 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 |
---|---|---|---|
1801142104 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 26NJ00387900 (New Jersey) | Primary |
Entity Name | Samaritan Healthcare & Hospice Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023323367 PECOS PAC ID: 3375584667 Enrollment ID: O20110228000493 |
Entity Name | Signify Health Medical Associates Of New Jersey Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174187728 PECOS PAC ID: 4284966896 Enrollment ID: O20191031002559 |
Mailing Address | Practice Location Address |
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Ms Mackenzie L Juckett, MS,APN 5 Eves Drive, Suite 300, Marlton, NJ 08053 Ph: (856) 596-1600 | Ms Mackenzie L Juckett, MS,APN 5 Eves Drive, Suite 300, Marlton, NJ 08053 Ph: (856) 596-1600 |
Dorothy Westlake, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 Rt. 73 North, Upper Level A & Main Level, Marlton, NJ 08053 Phone: 856-988-3444 | |
Phenita Sammantha Mouzon, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 777 Route 70 E Ste G101, Marlton, NJ 08053 Phone: 856-818-4020 | |
Mrs. Lisa Spurlock Abrams, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 765 E Route 70, Building A, Marlton, NJ 08053 Phone: 856-797-4721 | |
Letisha Hogans, APN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 765 Route 70 E Bldg A-101, Marlton, NJ 08053 Phone: 856-797-4800 | |
Mrs. Yingqiao Chen, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2003 Lincoln Dr W Ste B, Marlton, NJ 08053 Phone: 856-886-8839 Fax: 856-210-1874 | |
Ms. Fleurdeliz Alabanzas Germodo, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 141 Route 70 E Ste B, Marlton, NJ 08053 Phone: 856-596-9057 | |
Ms. Maria Terresa Pauciello, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 Route 73 N Upper Level A & Main Level, Marlton, NJ 08053 Phone: 856-988-3444 Fax: 856-795-3625 |