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Linda Bosworth

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

254 Easton Ave, New Brunswick, NJ 08901-1766

PECOS Enrollment

Based on the most recent information from CMS, provider Linda Bosworth is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1790842995
Provider Type
Individual
Full Name
Bosworth, Linda
Title
Mrs.
Credential
APN-BC

Gender
Female
Sole Proprietor
No
Enumeration Date
1/3/2007
Last Updated
2/25/2010

Contact Information

Practice Location

254 Easton Ave, New Brunswick, NJ 08901-1766

(732) 745-8600

Unlisted Fax

Mailing Location

211 Brook Dr, Milltown, NJ 08850-1467

(732) 317-4856

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 26NN06770000 New Jersey

Provider Identifiers

ID	Description	Issuer
ID 0157937	Description Medicaid	Issuer Unlisted New Jersey

Linda Bosworth

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Keller, Kristyn

Gabel, Alissa

Gibbons, Geraldine Blaney

Lezark, Melissa

Billemeyer, Nicole

Gonzales, Fia M

Albrecht, Catherine J

Weinberger, Michal

Patel, Nayana Mukeshbhai

Cilly, Asha