Grant Robert Carlisle, | |
500 University Dr, Hershey, PA 17033-2360 | |
(717) 531-5690 | |
Not Available |
Full Name | Grant Robert Carlisle |
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Gender | Male |
Speciality | Ophthalmology |
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 |
---|---|---|---|
1063075224 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | MD481576 (Pennsylvania) | Secondary |
207W00000X | Ophthalmology | 76307 (Minnesota) | 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 |
Mailing Address | Practice Location Address |
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Grant Robert Carlisle, 701 Park Ave, Minneapolis, MN 55415-1623 Ph: (612) 873-3000 | Grant Robert Carlisle, 500 University Dr, Hershey, PA 17033-2360 Ph: (717) 531-5690 |
George C Papachristou, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 500 University Drive, Hu19, Upc 1, Suite 800, Hershey, PA 17033 Phone: 717-531-8783 Fax: 717-531-5475 | |
Ali Aminlari, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 800-233-4082 | |
William A Cantore, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 717-531-5690 Fax: 717-531-5009 | |
Kimberly A Neely, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 800-243-1455 Fax: 717-531-5009 | |
Seth Michel Pantanelli, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 500 University Dr # Hu19, Hershey, PA 17033 Phone: 717-531-8783 | |
Dr. Ajay Soni, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 500 University Drive, Hu19, Penn State Hershey Medical Center, Ophthalmology Dept, Hershey, PA 17033 Phone: 717-531-8783 |