| Stawicki And Patnaik Medical Associates, P.c. | |
|
1235 Whitehorse Mercerville Rd Suite 316 Bldg. C Mercerville NJ 08619-3810 | |
| (609) 581-5586 | |
| (609) 581-5779 |
| Full Name | Stawicki And Patnaik Medical Associates, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1235 Whitehorse Mercerville Rd, Mercerville, New Jersey |
| Authorized Official Name and Position | Candace Louise Sandow-kaiser (OFFICE/BILLING MANAGER) |
| Authorized Official Contact | 6095815586 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stawicki And Patnaik Medical Associates, P.c. 1235 Whitehorse Mercerville Rd Suite 316 Bldg. C Mercerville NJ 08619-3810 Ph: (609) 581-5586 | Stawicki And Patnaik Medical Associates, P.c. 1235 Whitehorse Mercerville Rd Suite 316 Bldg. C Mercerville NJ 08619-3810 Ph: (609) 581-5586 |
| NPI Number | 1730291279 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 05/20/2015 |
| Medicare PECOS PAC ID | 7012963184 |
|---|---|
| Medicare Enrollment ID | O20050323000047 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730291279 | NPI | - | NPPES |
| 0574375 | Other | NJ | AETNA HEALTHCARE |
| 05793468 | Other | NJ | TRADITIONAL AETNA |
| 1575075 | Other | NJ | CIGNA GROUP |
| 1941543 | Other | NJ | UNITED HEALTHCARE |
| 8155305 | Other | NJ | MEDICAID |
| G1942701 | Other | NJ | OXFORD HEALTHPLANS |
| 035105 | Other | NJ | MEDICARE |
| 733224000 | Other | NJ | AMERIHEALTH 65 |
| CH0960 | Other | NJ | MEDICARE RAILROAD/GRP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 1497732598 (New Jersey) | Primary |
| Provider Name | Jesse Stawicki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497732598 PECOS PAC ID: 5496790073 Enrollment ID: I20050623000764 |
| Provider Name | Asit Patnaik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831280650 PECOS PAC ID: 8729144001 Enrollment ID: I20090312000048 |
| Provider Name | Lianne M Dehnam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912984014 PECOS PAC ID: 6204980725 Enrollment ID: I20090819000036 |
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