| Kristen Clark, AUD | |
|
500 University Dr, Hershey, PA 17033-2360 | |
| (717) 531-6822 | |
| Not Available |
| Full Name | Kristen Clark |
|---|---|
| Gender | Female |
| Speciality | Audiologist |
| Location | 500 University Dr, Hershey, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609522135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 4858 (Massachusetts) | Secondary |
| 231H00000X | Audiologist | AT006868 (Pennsylvania) | Primary |
| Provider Name | The Milton S Hershey Medical Center Physicians Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1710951744 PECOS PAC ID: 3870405483 Enrollment ID: O20040225000741 |
| Provider Name | Penn State Health Community Medical Group Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1861988644 PECOS PAC ID: 8729351077 Enrollment ID: O20170907002279 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen Clark, AUD 321 Billerica Rd Ste 202, Chelmsford, MA 01824-4100 Ph: (978) 256-5557 | Kristen Clark, AUD 500 University Dr, Hershey, PA 17033-2360 Ph: (717) 531-6822 |
Dr. Madison Cinnamo, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 800-243-1455 | |
Stephanie A Milks, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 800-243-1455 Fax: 717-531-4907 | |
Kirsten A Petrarca, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 717-531-6822 Fax: 717-531-4907 | |
Roxanne Hagenbuch, MS Audiologist Medicare: Not Enrolled in Medicare Practice Location: 500 University Dr, Suite 400, Hershey, PA 17033 Phone: 717-531-3815 Fax: 717-531-4907 | |
Dr. Michele Leslie Gerrish, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 500 University Dr, Upc1 Suite 700, Hershey, PA 17033 Phone: 717-531-7171 Fax: 717-531-0919 | |
Madeline Depascale, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 717-531-6822 | |
Beth Frances Reed, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 200 Campus Drive, Suite 400, Hershey, PA 17033 Phone: 717-531-6822 |