aco name and location - kennedy health alliance name and location kennedy medical group practice,...

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ACO Name and Location Kennedy Medical Group Practice, P.C. 1099 White Horse Road Voorhees, NJ 08043 ACO Primary Contact Primary Contact Name Ricardo Perez, DO Primary Contact Phone Number 856-218-5687 Primary Contact Email Address [email protected] Organizational Information ACO Participants: ACO Participants ACO Participant in Joint Venture (Enter Y or N) Tuba Ali N Danielle Allen N Maher Alsafadi N Jaime Andrews N Diana Bacal N Joseph Badolato N Joseph Badolato, Sr. N

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Page 1: ACO Name and Location - Kennedy Health Alliance Name and Location Kennedy Medical Group Practice, P.C. 1099 White Horse Road Voorhees, NJ 08043 ACO Primary Contact ... Jason Becker

ACO Name and Location

Kennedy Medical Group Practice, P.C. 1099 White Horse Road Voorhees, NJ 08043

ACO Primary Contact

Primary Contact Name Ricardo Perez, DO

Primary Contact Phone Number 856-218-5687

Primary Contact Email Address [email protected]

Organizational Information ACO Participants:

ACO Participants ACO Participant in Joint Venture (Enter Y or N)

Tuba Ali N

Danielle Allen N

Maher Alsafadi N

Jaime Andrews N

Diana Bacal N

Joseph Badolato N

Joseph Badolato, Sr. N

Page 2: ACO Name and Location - Kennedy Health Alliance Name and Location Kennedy Medical Group Practice, P.C. 1099 White Horse Road Voorhees, NJ 08043 ACO Primary Contact ... Jason Becker

Michael Barnish N

Gregory Barone N

Jason Becker N

Bradley Bender N

James Bertel N

Siddharth Bhimani N

Brian Blair N

Catherine Bove N

Megan Brody N

Justin Buehrig N

Karen Calabrese N

Jose Camacho N

Anthony Cannon N

Douglas Carey N

Wei Chen N

Drew Chiesa N

John Chiesa N

Lori Ciavaglia N

Page 3: ACO Name and Location - Kennedy Health Alliance Name and Location Kennedy Medical Group Practice, P.C. 1099 White Horse Road Voorhees, NJ 08043 ACO Primary Contact ... Jason Becker

Loretta Ciervo N

Andrea Cochran N

Larry Cohen N

Mark Condoluci N

Kenneth Covone N

Jonathan Dalmasi N

Amanda Davis N

Rosemary Decicco N

Christopher Dick N

Lisa DiMedio N

Hasan Ehsan N

Morris Eisen N

Adeshola Fakulujo N

Michele Fantazzio N

Stephanie Ferroni N

Joshua Filer N

Amanda Fox N

Jeffrey Friedman N

Page 4: ACO Name and Location - Kennedy Health Alliance Name and Location Kennedy Medical Group Practice, P.C. 1099 White Horse Road Voorhees, NJ 08043 ACO Primary Contact ... Jason Becker

Mark Fussa N

Joseph Gambale N

Hong-Guang Gao N

Diane Gillum N

Danette Glenn N

Janusz Godyn N

Adam Goldstein N

David Goldstein N

Holly Graves N

William Green N

Suheil Guzman N

Bethany Harsche N

Rafael Hasbun N

William Hasbun N

Cindy Hou N

Jennifer Hummel N

Dahlia Irby N

Ian Jacobi N

Page 5: ACO Name and Location - Kennedy Health Alliance Name and Location Kennedy Medical Group Practice, P.C. 1099 White Horse Road Voorhees, NJ 08043 ACO Primary Contact ... Jason Becker

Nosheen Jawaid N

Bradley Johnson N

Eric Kaminetsky N

Soofia Kashif N

Elyse Kernis N

Maryam Khan N

Jay Kirkham N

Jay Klazmer N

David Kovalsky N

Lisa Kunkle N

Alyssa Kwon N

Tamara LaCouture N

Gloria Lam N

Michele Lanza N

Todd Levin N

Joseph Libby N

Judith Lightfoot N

John Lowe N

Page 6: ACO Name and Location - Kennedy Health Alliance Name and Location Kennedy Medical Group Practice, P.C. 1099 White Horse Road Voorhees, NJ 08043 ACO Primary Contact ... Jason Becker

Patricia Luceri N

Christina Mach N

Leslie Madrak N

Naveen Malik N

Stephanie Marucci N

Michael Matrale N

Donald McMahon N

Maryann McMahon N

Steven Meskin N

Marc Michelson N

Corinne Miklas N

Julius Mingroni N

Jennifer Mojica-Itidiare N

Michael Monte-Carlo N

Aubrey Moyer N

Purvaja Naik N

Linda Narcisi N

Marc Neff N

Page 7: ACO Name and Location - Kennedy Health Alliance Name and Location Kennedy Medical Group Practice, P.C. 1099 White Horse Road Voorhees, NJ 08043 ACO Primary Contact ... Jason Becker

Elias Nemeh N

Mariabich Nguyen N

Marlene O’Brien N

Joanne Ownbey N

Pinal Patel N

Andriy Pavlenko N

Emma-Ruth Paz-Querubin N

Xiomara Penn-Becoat N

Tracy Persily N

Claudia Petaccio N

Anhthu Pickart N

Anca Popescu N

Howard Press N

Robert Principato N

Deepa Quadir-Alam N

Jeffery Ranalli N

Michael Riesa N

Najmun Riyaz N

Page 8: ACO Name and Location - Kennedy Health Alliance Name and Location Kennedy Medical Group Practice, P.C. 1099 White Horse Road Voorhees, NJ 08043 ACO Primary Contact ... Jason Becker

Jacquelyn Roberts N

Marcela Roger N

David Roshal N

Veronica Rossetti N

Jennifer Roszkowski N

Darshan Roy N

Lorraine Ruchalski N

Caroline Runne N

Christopher Salerno N

Roy Sandau N

Kelly Schiers N

Arthur Schultes N

Justin Schweitzer N

Nicole Scivoletti-Polan N

Stacy Senk N

Thomas Sexton N

Or Shachar N

Richard Shaw N

Page 9: ACO Name and Location - Kennedy Health Alliance Name and Location Kennedy Medical Group Practice, P.C. 1099 White Horse Road Voorhees, NJ 08043 ACO Primary Contact ... Jason Becker

Alan Shienbaum N

Yelena Shrayber N

Jonathan Shulman N

Melissa Suarez N

Linda Szczurek N

Susan Tamagni N

Greg Taylor N

Mark Testa N

Nicole Thompson N

Dawn Topper N

Charles Trigiani N

Danielle Trotter N

Douglas Tsai N

Courtney Turk N

Deborah Ubele N

Ciby Varkey N

Richard Walters N

Amy Wang N

Page 10: ACO Name and Location - Kennedy Health Alliance Name and Location Kennedy Medical Group Practice, P.C. 1099 White Horse Road Voorhees, NJ 08043 ACO Primary Contact ... Jason Becker

Yvette Wang N

Zeina Wehbe N

Deborah White N

Dorothy Wiegand N

Joan Wiley N

Edmund Wilkinson N

James Williams N

Philip Willsie N

Adonas Woodard N

Jennifer Wright N

Kahyun Yoon-Flanney N

David Zalut N

Taimur Zaman N

Page 11: ACO Name and Location - Kennedy Health Alliance Name and Location Kennedy Medical Group Practice, P.C. 1099 White Horse Road Voorhees, NJ 08043 ACO Primary Contact ... Jason Becker

ACO Governing Body:

Member

First Name Last Name Title/Position Member’s

Voting Power

Ricardo Perez MD/Chairperson/Strategic Oversight 1

Anthony Wehbe MD/Executive Director/Operations Management

0

Greg Taylor MD/Medical Director/Clinical Management 1

Jill Ostrem COO/Compliance Officer/Oversight of Compliance Issues

0

Glenn Zirbser Chair of Finance Committee/Oversight of Payer Strategies/Contracting

1

Amanda Kimmel Chair of the Operations Committee/Organizational and Relational

Infrastructure Reporting

1

Matthew Gettings MD/Chair of the Quality Assurance Committee/Credentialing and

Monitoring/Improving Quality Guidance

1

Deborah Ubele MD/Vice-Chair of the Quality Assurance Committee/Credentialing and

Monitoring/Improving Quality Guidelines

1

Gloria Smith Medicare Beneficiary 1

Page 12: ACO Name and Location - Kennedy Health Alliance Name and Location Kennedy Medical Group Practice, P.C. 1099 White Horse Road Voorhees, NJ 08043 ACO Primary Contact ... Jason Becker

Organizational Information No data.

ACO Performance on Quality Measures No data.