Jason Ferderber, | |
1700 Old Gatesburg Rd Ste 200, State College, PA 16803-2276 | |
(814) 237-4321 | |
(814) 235-0484 |
Full Name | Jason Ferderber |
---|---|
Gender | Male |
Speciality | Sports Medicine |
Experience | 8 Years |
Location | 1700 Old Gatesburg Rd Ste 200, State College, Pennsylvania |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023544053 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PS0010X | Emergency Medicine - Sports Medicine | MD467872 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mount Nittany Medical Center | State college, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Phoenix Rehabilitation And Health Services Inc | 3476464298 | 49 |
Keystone Rehabilitation Systems Inc | 7012826753 | 533 |
Mount Nittany Medical Center Health Services Inc | 8426136797 | 204 |
Entity Name | University Of Pittsburgh Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619935004 PECOS PAC ID: 8729990239 Enrollment ID: O20040308000883 |
Entity Name | Mount Nittany Medical Center Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164691499 PECOS PAC ID: 8426136797 Enrollment ID: O20081021000240 |
Mailing Address | Practice Location Address |
---|---|
Jason Ferderber, 1700 Old Gatesburg Rd Ste 200, State College, PA 16803-2276 Ph: (814) 237-4321 | Jason Ferderber, 1700 Old Gatesburg Rd Ste 200, State College, PA 16803-2276 Ph: (814) 237-4321 |
Dr. Kevin Allan Mishock, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 E Park Ave, Mount Nittany Medical Center, State College, PA 16803 Phone: 814-234-6110 | |
Dr. Christine Louise Tichansky, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 Radnor Rd, Ste 100, State College, PA 16801 Phone: 814-231-7868 Fax: 814-238-4169 | |
Teresa Dolan, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1800 E Park Ave, C/o Mount Nittany Medical Center, State College, PA 16803 Phone: 814-234-6110 | |
Dr. Kasandra Ann Botti, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1800 E Park Ave, State College, PA 16803 Phone: 814-234-6110 | |
Dr. Ryan Michael Burton, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 E Park Ave, State College, PA 16803 Phone: 814-234-6110 | |
Dr. Mina Salib, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 611 University Dr, State College, PA 16801 Phone: 814-375-4045 |