Herbert C Hoover Jr, MD - Medicare General Surgery in Ephrata, PA

Herbert C Hoover Jr, MD is a medicare enrolled "Surgery" physician in Ephrata, Pennsylvania. He went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 1970 and has 54 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Wellspan Medical Group and his current practice location is 804 Grandview Dr, Wellspan Surgical Specialists, Ephrata, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (717) 466-2500.

Herbert C Hoover Jr is licensed to practice in Pennsylvania (license number MD055401L) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1386683613.

Contact Information

Herbert C Hoover Jr, MD
804 Grandview Dr, Wellspan Surgical Specialists,
Ephrata, PA 17522
(717) 466-2500
Not Available

Map and Direction




Physician's Profile

Full NameHerbert C Hoover Jr
GenderMale
SpecialityGeneral Surgery
Experience54 Years
Location804 Grandview Dr, Ephrata, Pennsylvania
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Herbert C Hoover Jr attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 1970
  NPI Data:
  • NPI Number: 1386683613
  • Provider Enumeration Date: 06/05/2006
  • Last Update Date: 10/30/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0648262790
  • Enrollment ID: I20080404000025

Medical Identifiers

Medical identifiers for Herbert C Hoover Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386683613NPI-NPPES
0015088420006MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 01064871A (Indiana)Secondary
208600000XSurgery MD055401L (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Chambersburg HospitalChambersburg, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wellspan Medical Group19512131151966

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Herbert C Hoover Jr allows following entities to bill medicare on his behalf.
Entity NameSummit Physician Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306840814
PECOS PAC ID: 5496659484
Enrollment ID: O20031121000259
Entity NameWellspan Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750480299
PECOS PAC ID: 1951213115
Enrollment ID: O20040220000815

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Herbert C Hoover Jr is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Herbert C Hoover Jr, MD
804 Grandview Dr Ste 2,
Ephrata, PA 17522-1681

Ph: (717) 466-2500
Herbert C Hoover Jr, MD
804 Grandview Dr, Wellspan Surgical Specialists,
Ephrata, PA 17522

Ph: (717) 466-2500

Reviews and Comments


Surgery Doctors in Ephrata, PA

William C Piepgrass, M.D.
Surgery
Medicare: Medicare Enrolled
Practice Location: 804 Grandview Dr Ste 2, Ephrata, PA 17522
Phone: 717-466-2500    Fax: 717-733-7865
Carlos Donayre, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 804 Grandview Dr Ste 2, Ephrata, PA 17522
Phone: 717-466-2500    Fax: 717-733-7865
Thomas M Oconnor, DO
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 804 Grandview Dr Ste 2, Ephrata, PA 17522
Phone: 717-466-2500    Fax: 717-733-7865
Dr. Leon Salem, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 179 N Reading Rd, Ephrata, PA 17522
Phone: 717-738-0167    Fax: 717-207-8626
Nirutisai K Graff, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 175 Martin Ave, Suite 320, Ephrata, PA 17522
Phone: 717-721-5800    Fax: 717-721-5858
Jeffrey A Keyser, DO
Surgery
Medicare: Medicare Enrolled
Practice Location: 804 Grandview Dr Ste 2, Ephrata, PA 17522
Phone: 717-466-2500    Fax: 717-733-7865

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.