Cooper Primary Care At Pennsville, Pa - Medicare Primary Care in Pennsville, NJ

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Cooper Primary Care At Pennsville, Pa is a medicare enrolled primary clinic (Internal Medicine) in Pennsville, New Jersey. The current practice location for Cooper Primary Care At Pennsville, Pa is 390 North Broad Street, Concord Professional Building, Ste 100, Pennsville, New Jersey. For appointments, you can reach them via phone at (856) 678-6411. The mailing address for Cooper Primary Care At Pennsville, Pa is 1 Federal Street, Sw-200, Camden, New Jersey and phone number is (856) 356-4924.

Cooper Primary Care At Pennsville, Pa is licensed to practice in New Jersey (license number ). The clinic also participates in the medicare program and its NPI number is 1801803051. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (856) 678-6411.

Contact Information

Cooper Primary Care At Pennsville, Pa
390 North Broad Street
Concord Professional Building, Ste 100
Pennsville
NJ 08070
(856) 678-6411
(856) 678-7509

Map and Direction


Primary Care Clinic Profile

Full NameCooper Primary Care At Pennsville, Pa
SpecialityInternal Medicine
Location390 North Broad Street, Pennsville, New Jersey
Authorized Official Name and PositionAnthony J. Mazzarelli (CHIEF MEDICAL OFFICE)
Authorized Official Contact8569687858
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Cooper Primary Care At Pennsville, Pa
1 Federal Street
Sw-200
Camden
NJ 08103-1155

Ph: (856) 356-4924		Cooper Primary Care At Pennsville, Pa
390 North Broad Street
Concord Professional Building, Ste 100
Pennsville
NJ 08070

Ph: (856) 678-6411

NPI Details:

NPI Number1801803051
Provider Enumeration Date08/01/2006
Last Update Date07/27/2016

Medicare PECOS Information:

Medicare PECOS PAC ID1456373281
Medicare Enrollment IDO20051221000411

Medical Identifiers

Medical identifiers for Cooper Primary Care At Pennsville, Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801803051NPI-NPPES
15096OtherAETNA
0479412001OtherAMERIHEALTH
7209908MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (New Jersey)Primary
207R00000XInternal Medicine (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Cooper Primary Care At Pennsville, Pa acts as a billing entity for following providers:
Provider NameLynda M Bascelli
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558350215
PECOS PAC ID: 4981690419
Enrollment ID: I20040421001138
Provider NameAshoke K Deb
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1124088760
PECOS PAC ID: 7719967173
Enrollment ID: I20040726000075
Provider NameDaniel J Hyman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1346335023
PECOS PAC ID: 2769405273
Enrollment ID: I20060111000356
Provider NameCatherine M Gerety
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144425554
PECOS PAC ID: 0648338632
Enrollment ID: I20081020000493
Provider NameEdmar M Lacay
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821248907
PECOS PAC ID: 2961675442
Enrollment ID: I20111027000874
Provider NameKaitlan E Baston
Provider TypePractitioner - Addiction Medicine
Provider IdentifiersNPI Number: 1639464696
PECOS PAC ID: 5294967212
Enrollment ID: I20160111002380
Provider NameYingzi Deng
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1346689403
PECOS PAC ID: 4981992286
Enrollment ID: I20161019000037
Provider NameChristina Louise Marcano
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174178909
PECOS PAC ID: 2264864594
Enrollment ID: I20191107000955
Provider NameDawn P Holder
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1134296288
PECOS PAC ID: 5294958724
Enrollment ID: I20191219002144

Reviews and Comments


Internal Medicine in Pennsville, NJ

Mitchell Bober, D.o.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 250 S Broadway, Pennsville, NJ 08070
Phone: 856-678-9002    Fax: 856-678-4027
Pennsalem Medical Center, Inc.
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 244 N Broadway, Pennsville, NJ 08070
Phone: 856-678-9200    Fax: 856-678-8400
Internal Medicne Of South Jersey
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 250 S Broadway, Suite B, Pennsville, NJ 08070
Phone: 856-678-9900    Fax: 856-678-9901

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.