| Patrick Teesdale Jr, CRNA | |
|
509 N Broad St, Woodbury, NJ 08096-1617 | |
| (856) 845-0100 | |
| Not Available |
| Full Name | Patrick Teesdale Jr |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 15 Years |
| Location | 509 N Broad St, Woodbury, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932334554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 26NO11593100 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Inspira Medical Center Elmer | Elmer, NJ | Hospital |
| Inspira Medical Center Vineland | Vineland, NJ | Hospital |
| Virtua West Jersey Hospitals | Voorhees, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Jersey Anesthesia And Pain Physicians Pc | 0840181152 | 37 |
| New Jersey Healthcare Specialists Pc | 2668385253 | 540 |
| Virtua Medical Group, Pa | 9830222397 | 1260 |
| Entity Name | New Jersey Healthcare Specialists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174585780 PECOS PAC ID: 2668385253 Enrollment ID: O20031110000555 |
| Entity Name | Rancocas Anesthesiology Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427076553 PECOS PAC ID: 2769380237 Enrollment ID: O20031222000327 |
| Entity Name | South Jersey Anesthesia And Pain Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700821352 PECOS PAC ID: 0840181152 Enrollment ID: O20040324000439 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick Teesdale Jr, CRNA 255 W Michigan Ave, Po Box 1123, Jackson, MI 49201-2218 Ph: (517) 787-6440 | Patrick Teesdale Jr, CRNA 509 N Broad St, Woodbury, NJ 08096-1617 Ph: (856) 845-0100 |
Lisa Howey, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 509 N Broad St, 3rd Floor Underwood Memorial Hospital, Woodbury, NJ 08096 Phone: 856-845-0100 Fax: 856-853-9334 | |
Lydia Ann Campbell, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 509 N Broad St, 3rd Floor Underwood Memorial Hospital, Woodbury, NJ 08096 Phone: 856-845-0100 Fax: 856-853-9334 | |
Mrs. Christina M Tortella, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 509 N Broad St, 3rd Floor Underwood Memorial Hospital, Woodbury, NJ 08096 Phone: 856-845-0100 Fax: 856-353-9334 | |
Mr. Sanford R. Stark, CRNA, PHD Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 323 S Girard St, Woodbury, NJ 08096 Phone: 856-853-9277 Fax: 856-853-1633 | |
Mrs. Janine M. Dronson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 509 N Broad St, Woodbury, NJ 08096 Phone: 856-845-0100 | |
David Szurek, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 509 N Broad St, Underwood Memorial Hospital 3rd Floor, Woodbury, NJ 08096 Phone: 856-845-0100 Fax: 856-853-9334 | |
Edwina Von Judd, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 509 N Broad St, Underwood Memorial Hospital 3rd Floor, Woodbury, NJ 08096 Phone: 856-845-0100 Fax: 856-853-9334 |