South Jersey Gastroenterology, PA

PAC ID

5890885586The PECOS associate control ID: one enrolled organization, which may hold several NPIs

Provider type

Part B Supplier - Clinic/Group Practice

Enrolled in

NJ

Enrollments

1

Group size

2 cliniciansAs Care Compare reports it

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice locations

1In 1 place

Enrollment records 1

These NPI records belong to the same enrolled organization. Each has its own page.

• South Jersey Gastroenterology PA

  • Anesthesiology Physician
  • Voorhees, NJ
  • NPI 1356514335
• South Jersey Gastroenterology, PA

  • Gastroenterology Physician
  • Marlton, NJ
  • NPI 1871537225

Clinicians who reassign their Medicare benefits to this group (2) or whom Care Compare lists as members (2).

• Mark Stephen Liccini, DO

  • Anesthesiology Physician
  • Voorhees, NJ
  • NPI 1861562779
• Dennis K Reilly, D.O.

  • Anesthesiology Physician
  • Marlton, NJ
  • NPI 1346293503

• Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
• Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
• NPPES NPI Registry: the names and addresses of the NPIs above.