| Cumberland Family Medicine Llc | |
|
1203 N High St Suite A Millville NJ 08332-2530 | |
| (856) 327-0182 | |
| (856) 327-7381 |
| Full Name | Cumberland Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1203 N High St, Millville, New Jersey |
| Authorized Official Name and Position | Jane Ashton (OFFICE MANAGER) |
| Authorized Official Contact | 8563270182 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cumberland Family Medicine Llc 1203 N High St Suite A Millville NJ 08332-2530 Ph: (856) 327-0182 | Cumberland Family Medicine Llc 1203 N High St Suite A Millville NJ 08332-2530 Ph: (856) 327-0182 |
| NPI Number | 1174689004 |
|---|---|
| Provider Enumeration Date | 12/28/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7810919602 |
|---|---|
| Medicare Enrollment ID | O20060131000206 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174689004 | NPI | - | NPPES |
| 3229807 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jill Mortensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609816511 PECOS PAC ID: 4789606575 Enrollment ID: I20051221000253 |
| Provider Name | Brian J Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437199346 PECOS PAC ID: 3779597687 Enrollment ID: I20060201000271 |
| Provider Name | Kate R Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154362374 PECOS PAC ID: 1557521945 Enrollment ID: I20120321000773 |
| Provider Name | Lindsey Kristina Pratts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689336794 PECOS PAC ID: 7113168170 Enrollment ID: I20211228000417 |
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