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Mary Elizabeth Summerlott

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

1945 State Route 33, Neptune, NJ 07753-4488

PECOS Enrollment

This provider is enrolled in PECOS as MARY SUMMERLOTT.

Based on the most recent information from CMS, provider Mary Elizabeth Summerlott 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 6 days ago.

Profile Details

Provider ID
1043038144
Provider Type
Individual
Full Name
Summerlott, Mary Elizabeth
Credential
PA

Gender
Female
Sole Proprietor
No
Enumeration Date
9/30/2024
Last Updated
5/9/2025

Contact Information

Practice Location

1945 State Route 33, Neptune, NJ 07753-4488

(732) 776-3790

Unlisted Fax

Mailing Location

331 Newman Springs Rd, Bldg 2, Ste 220, Red Bank, NJ 07701-5688

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 25MP00908700 New Jersey

Mary Elizabeth Summerlott

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Nadeau, Michelle

Ramos, Francisco

Tulino, Joseph

Paknis, Ashlee

Towler, Rachel Grace

Tsetsakos, Panagiota

Hobson, Daniel J

Patel, Kanan

Digiorgio, Tiffany Marie

Degraaf, Briana Mary