Dr Jeffrey Michael Fornadley, MD | |
500 University Dr, Dept Of Surgery Mc H159, Hershey, PA 17033-2360 | |
(717) 531-8557 | |
(717) 531-5393 |
Full Name | Dr Jeffrey Michael Fornadley |
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Gender | Male |
Speciality | Plastic Surgery |
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 |
---|---|---|---|
1659633162 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208200000X | Plastic Surgery | MD471038 (Pennsylvania) | Primary |
Entity Name | Penn State Health Community Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861988644 PECOS PAC ID: 8729351077 Enrollment ID: O20170907002279 |
Mailing Address | Practice Location Address |
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Dr Jeffrey Michael Fornadley, MD 500 University Dr, Dept Of Surgery Mc H159, Hershey, PA 17033-2360 Ph: (717) 531-8557 | Dr Jeffrey Michael Fornadley, MD 500 University Dr, Dept Of Surgery Mc H159, Hershey, PA 17033-2360 Ph: (717) 531-8557 |
Timothy Shane Johnson, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 30 Hope Dr Ste 1860, Hershey, PA 17033 Phone: 717-531-8952 Fax: 717-531-0098 | |
Dr. John Michael Roberts, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 717-531-8952 Fax: 717-531-4339 | |
Dr. John Michael Ingraham, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 University Dr, Mch071, Hershey, PA 17033 Phone: 717-531-8372 | |
Thomas D Samson, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 30 Hope Dr Ste 1860, Hershey, PA 17033 Phone: 717-531-8952 Fax: 717-531-0098 | |
Dino Ravnic, D.O. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 University Dr, H071, Hershey, PA 17033 Phone: 717-531-8372 Fax: 717-531-4339 | |
Randy M Hauck, M.D Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 30 Hope Dr Ste 2400, Hershey, PA 17033 Phone: 717-531-5638 Fax: 717-531-0098 |