Ms Regina Marie Jacobsen, CRNA | |
65 Jimmie Leeds Road, Pomona, NJ 08240 | |
(609) 748-7088 | |
Not Available |
Full Name | Ms Regina Marie Jacobsen |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 65 Jimmie Leeds Road, Pomona, 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 |
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1356377246 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 26NR07354500 (New Jersey) | Primary |
Entity Name | New Jersey Healthcare Specialists Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174585780 PECOS PAC ID: 2668385253 Enrollment ID: O20031110000555 |
Mailing Address | Practice Location Address |
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Ms Regina Marie Jacobsen, CRNA 115 Balfour Ave, Linwood, NJ 08221-2304 Ph: (856) 313-2401 | Ms Regina Marie Jacobsen, CRNA 65 Jimmie Leeds Road, Pomona, NJ 08240 Ph: (609) 748-7088 |
Klisa D. Hargrove-loper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 65 W Jimmie Leeds Rd, Pomona, NJ 08240 Phone: 609-652-3444 | |
Ashleigh Bry, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 65 W Jimmie Leeds Rd, Pomona, NJ 08240 Phone: 609-652-1000 | |
Susan Schrenk, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 65 W Jimmie Leeds Rd, Anesthesia Department, Pomona, NJ 08240 Phone: 609-748-7597 | |
Allison Giegerich, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 65 W Jimmie Leeds Rd, Pomona, NJ 08240 Phone: 609-652-1000 | |
Dr. Marissa Glaze, DNP, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 65 W Jimmie Leeds Rd, Pomona, NJ 08240 Phone: 609-652-1000 | |
Ellen Lauletta, CRNA, MSN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 65 W Jimmie Leeds Rd, Pomona, NJ 08240 Phone: 609-652-1000 | |
Steven Greenleaf, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 65 Jimmie Leeds Road, Pomona, NJ 08240 Phone: 609-652-3444 |