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Patricia Ann Kortbawi

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

254 Easton Ave, New Brunswick, NJ 08901-1766

PECOS Enrollment

This provider is enrolled in PECOS as PATRICIA KORTBAWI.

Based on the most recent information from CMS, provider Patricia Ann Kortbawi is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1497966279
Provider Type
Individual
Full Name
Kortbawi, Patricia Ann
Title
Mrs.
Credential
APNC

Gender
Female
Sole Proprietor
No
Enumeration Date
5/24/2007
Last Updated
7/8/2007

Contact Information

Practice Location

254 Easton Ave, New Brunswick, NJ 08901-1766

(732) 745-8600

(732) 993-0793

Mailing Location

254 Easton Ave, Po Box 591, New Brunswick, NJ 08901-1766

(732) 745-8600

(732) 993-0793

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 26NN05950400 New Jersey

Patricia Ann Kortbawi

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Catalano, Carolyn

Alban, Ann Farrell

Trinidad, Vincent

Gurdak, Joanna M

Bosworth, Linda

Lezark, Melissa

Robinson, Christina

Gaido, James C

Yoon, Myung Hee

Bruno, Jacquelyn M