Renata Siruckova, CNM | |
2301 E Evesham Rd, Voorhees, NJ 08043-4501 | |
(856) 770-9300 | |
Not Available |
Full Name | Renata Siruckova |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 2301 E Evesham Rd, Voorhees, 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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1215554043 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367A00000X | Advanced Practice Midwife | 25ME00071201 (New Jersey) | Primary |
Entity Name | Advocare Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770538696 PECOS PAC ID: 3678562188 Enrollment ID: O20040510001217 |
Mailing Address | Practice Location Address |
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Renata Siruckova, CNM 401 Route 73 N Ste 320, Marlton, NJ 08053-3426 Ph: () - | Renata Siruckova, CNM 2301 E Evesham Rd, Voorhees, NJ 08043-4501 Ph: (856) 770-9300 |
Nicole Marie Kashow, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2401 E Evesham Rd Ste A, Voorhees, NJ 08043 Phone: 856-424-8290 | |
Jennifer Marie Travis, APN Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2301 E Evesham Rd Ste 122, Voorhees, NJ 08043 Phone: 856-770-9300 Fax: 856-770-8238 | |
Maryellen Levine, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 2301 E Evesham Rd Ste 122, Voorhees, NJ 08043 Phone: 856-770-9300 | |
Miranda L Peurala, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 165 Route 73, Voorhees, NJ 08043 Phone: 856-341-8474 | |
Flannery Farrell, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2301 E Evesham Rd, Voorhees, NJ 08043 Phone: 856-770-9300 | |
Jane Letushko, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 157 Route 73, Voorhees, NJ 08043 Phone: 856-874-1114 Fax: 856-874-9555 |