Dr Marissa A Brunetti, MD | |
500 University Dr, Hershey, PA 17033-2360 | |
(800) 243-1455 | |
Not Available |
Full Name | Dr Marissa A Brunetti |
---|---|
Gender | Female |
Speciality | Pediatrics - Pediatric Critical Care Medicine |
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 |
---|---|---|---|
1114946738 | NPI | - | NPPES |
1026270630001 | Medicaid | PA | |
KJ50GB/64687801 | Other | MD | CAREFIRST MARYLAND GBMC |
S1390049 | Other | MD | CAREFIRST REGIONAL GBMC |
409240600 | Medicaid | MD | |
226140EMD | Other | PA | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | D63275 (Maryland) | Secondary |
2080P0203X | Pediatrics - Pediatric Critical Care Medicine | MD439981 (Pennsylvania) | Primary |
Entity Name | The Milton S Hershey Medical Center Physicians Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710951744 PECOS PAC ID: 3870405483 Enrollment ID: O20040225000741 |
Entity Name | Childrens Anesthesiology Associates Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689779480 PECOS PAC ID: 5799688529 Enrollment ID: O20040324000032 |
Mailing Address | Practice Location Address |
---|---|
Dr Marissa A Brunetti, MD 100 E Penn Sq, The Wanamaker Building, 9th Floor, North, Philadelphia, PA 19107-3323 Ph: (267) 425-9300 | Dr Marissa A Brunetti, MD 500 University Dr, Hershey, PA 17033-2360 Ph: (800) 243-1455 |
Kanthi Bangalore Krishna, MBBS Pediatrics Medicare: Medicare Enrolled Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 800-243-1455 | |
Emily Elizabeth Gibbons, Pediatrics Medicare: Medicare Enrolled Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 717-531-8521 | |
Eric J Michael, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 800-233-4082 | |
Roopa Siddaiah, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 717-531-5338 Fax: 717-531-0761 | |
Timothy Roach, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 717-531-6039 | |
Megan Ilgenfritz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 717-531-5606 Fax: 717-531-0648 | |
Margaret Storm, Pediatrics Medicare: Medicare Enrolled Practice Location: Penn State Health Milton S Hershey Medical Center, 500 University Drive, Hershey, PA 17033 Phone: 717-531-7300 Fax: 717-531-8992 |