Bethany Gilbert
Individual provider Active NPI Physician Assistant · Woodbury, NJ
NPI 1114479607 · NPPES record last updated Oct 31, 2016
Key facts
- NPI
- 1114479607
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 25MP00414100 (NJ)
- Practice address
- 17 W Red Bank Ave
#203
Woodbury, NJ 08096-1630 - Phone
- (856) 848-8242
- NPI assigned
- Oct 31, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- HR Physician Services
Practice addresses (Care Compare)
1616 Huntingdon Pike
Meadowbrook, PA 19046-8001
Phone (215) 436-1420
1648 Huntingdon Pike
Meadowbrook, PA 19046-8001
Phone (215) 436-1420
8580 Verree Rd
Philadelphia, PA 19111-1370
Phone (215) 436-1420
Hospital & facility affiliations
- Holy Redeemer Hospital and Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200123000299 | PA | Practitioner - Physician Assistant | 4587945811 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HR Physician Services | Current |
Accepting new patients | |
| HR Physician Services | Current |
Accepting new patients |
Locations
1648 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 938-3413
1648 Huntingdon Pike
Ofc 1ST
Meadowbrook, PA 19046
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00414100 | NJ | Yes |
Addresses
Primary practice location
17 W Red Bank Ave
#203
Woodbury, NJ 08096-1630
Mailing address
162 Lauriston St
Philadelphia, PA 19128-3728
Phone (610) 750-3391
Other providers in Woodbury, NJ
- General Vascular Surgical Specialists LLC
- James E. George
- Holly Gessner
- Valerie Giannone
- Andrew Gibson
- Corey Gilbert
- Steven L Gilbert
- Emily Gilch
- Tracy Ann Gill
- Kacie Gillespie
All providers in Woodbury, NJ · Physician Assistant in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.