Ms Marisa H Mckibban, PA in East Orange, NJ - Medicare Physician Assistant

Ms Marisa H Mckibban, PA is a medicare enrolled "Physician Assistant" in East Orange, New Jersey. Her current practice location is 300 Central Ave, East Orange, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 470-3000.

Ms Marisa H Mckibban is licensed to practice in New Jersey (license number 25MP00167000) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1174607600.

Contact Information

	Ms Marisa H Mckibban, PA
	300 Central Ave, East Orange, NJ 07018-2819
	(973) 470-3000
	(973) 470-3506

Provider's Profile

Full Name	Ms Marisa H Mckibban
Gender	Female
Speciality	Physician Assistant
Location	300 Central Ave, East Orange, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174607600
Provider Enumeration Date: 10/24/2006
Last Update Date: 11/01/2011

Medicare PECOS Information:

PECOS PAC ID: 4981706918
Enrollment ID: I20070222000369

Medical Identifiers

Medical identifiers for Ms Marisa H Mckibban such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174607600	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	25MP00167000 (New Jersey)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Marisa H Mckibban is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ms Marisa H Mckibban, PA 104 South Ave W, Cranford, NJ 07016-2652 Ph: (609) 320-1302	Ms Marisa H Mckibban, PA 300 Central Ave, East Orange, NJ 07018-2819 Ph: (973) 470-3000

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Physician Assistant Nurses in East Orange, NJ

Linda A Wolf, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 385 Tremont Ave, East Orange, NJ 07018 Phone: 973-676-1000
Mr. Erik Peter Habura, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 Central Ave, East Orange General Hospital, East Orange, NJ 07018 Phone: 973-672-8400
Ms. Martha Cecilia Arismendy, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 385 Tremont Ave, Va Nj Health Care System - General Surgery, East Orange, NJ 07018 Phone: 973-744-5647
Christie Costa, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 26 Baldwin St, East Orange, NJ 07017 Phone: 973-672-1212
Stephanie Chen, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 Central Ave, East Orange, NJ 07018 Phone: 973-672-8400
Ms. Kalpana Sheth, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 300 Central Ave, East Orange, NJ 07018 Phone: 973-266-8474

Ms Marisa H Mckibban, PA - Medicare Physician Assistant in East Orange, NJ