| Taiwo Gbadebo, APN | |
|
502 Centennial Blvd Ste 3, Voorhees, NJ 08043-9544 | |
| (856) 751-2300 | |
| (856) 751-2333 |
| Full Name | Taiwo Gbadebo |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 502 Centennial Blvd Ste 3, 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 |
|---|---|---|---|
| 1700201241 | NPI | - | NPPES |
| 0410217 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 26NR13633700 (New Jersey) | Primary |
| 363LF0000X | Nurse Practitioner - Family | SP012781 (Pennsylvania) | Secondary |
| Entity Name | Prospect Health Access Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568819084 PECOS PAC ID: 5698065142 Enrollment ID: O20160613000737 |
| Mailing Address | Practice Location Address |
|---|---|
| Taiwo Gbadebo, APN 301 Lippincott Dr Ste 410, Marlton, NJ 08053-4197 Ph: (856) 751-2300 | Taiwo Gbadebo, APN 502 Centennial Blvd Ste 3, Voorhees, NJ 08043-9544 Ph: (856) 751-2300 |
Ms. Kristi A. Kennedy, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 900 Centennial Blvd Ste M, Voorhees, NJ 08043 Phone: 855-632-2667 | |
Rachana U Cammarata, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2301 E Evesham Rd Ste 505, Voorhees, NJ 08043 Phone: 856-520-8718 Fax: 856-520-8719 | |
James Mcgee, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 30 Battery Hill Dr, Voorhees, NJ 08043 Phone: 856-340-9099 | |
Michelle Sheel, MSN, APN, C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Bowman Dr, Suite E, Voorhees, NJ 08043 Phone: 856-751-7880 | |
Heather Ann Rozencwaig, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Bowman Dr, Suite D285, Voorhees, NJ 08043 Phone: 856-602-4000 Fax: 856-947-1747 | |
Meryl Penalver, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Bowman Dr Ste E340, Voorhees, NJ 08043 Phone: 856-247-7600 Fax: 856-247-7575 | |
Mrs. Retha Jennifer Randall, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1012 Laurel Oak Rd, Voorhees, NJ 08043 Phone: 856-435-7502 Fax: 856-627-2183 |