| Jennifer L Wallace, MD | |
|
35 Hope Dr, Suite 102, Hershey, PA 17033-2086 | |
| (717) 531-7300 | |
| (717) 531-3527 |
| Full Name | Jennifer L Wallace |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 35 Hope Dr, Hershey, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962454215 | NPI | - | NPPES |
| 0018580630001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD073642L (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer L Wallace, MD 500 University Dr, Mc A410, Hershey, PA 17033-2360 Ph: (717) 531-8521 | Jennifer L Wallace, MD 35 Hope Dr, Suite 102, Hershey, PA 17033-2086 Ph: (717) 531-7300 |
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 |