| Lacey Family Medicine, L.l.c. | |
|
833 Lacey Rd Suite 6 Forked River NJ 08731-1200 | |
| (609) 242-6700 | |
| (609) 242-6701 |
| Full Name | Lacey Family Medicine, L.l.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 833 Lacey Rd, Forked River, New Jersey |
| Authorized Official Name and Position | Karen B Crawford (BILLING SUPERVISOR) |
| Authorized Official Contact | 7323492795 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lacey Family Medicine, L.l.c. 833 Lacey Rd Suite 6 Forked River NJ 08731-1200 Ph: (609) 242-6700 | Lacey Family Medicine, L.l.c. 833 Lacey Rd Suite 6 Forked River NJ 08731-1200 Ph: (609) 242-6700 |
| NPI Number | 1376592931 |
|---|---|
| Provider Enumeration Date | 05/09/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5991935637 |
|---|---|
| Medicare Enrollment ID | O20140226000175 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376592931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MB06877400 (New Jersey) | Primary |
| Provider Name | Therese M Barry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952359960 PECOS PAC ID: 0143205682 Enrollment ID: I20040621000359 |
William K. Power, Md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 730 Lacey Rd, Suite G06, Forked River, NJ 08731 Phone: 609-693-9240 Fax: 609-693-3616 | |
Wharfside Chiropractic Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2 Hollywood Blvd, Ste. A, Forked River, NJ 08731 Phone: 609-971-7733 Fax: 609-693-7623 | |
Nina L. Tubilleja, Md, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 403 Penn Ave., Forked River, NJ 08731 Phone: 609-971-9392 | |
Joel P Jannone Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Lacey Rd, Forked River, NJ 08731 Phone: 609-242-0040 Fax: 609-242-1019 | |
Quality Medical Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1044 Lacey Rd, Forked River, NJ 08731 Phone: 609-693-5006 Fax: 609-693-5016 | |
Liviu Crisan M.d. P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 651 Lacey Rd, Forked River, NJ 08731 Phone: 609-242-4322 Fax: 609-242-4324 |