Jina Libby, DO | |
1850 E Park Ave Ste 112, State College, PA 16803-6706 | |
(814) 865-3566 | |
(142) 354-7808 |
Full Name | Jina Libby |
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Gender | Female |
Speciality | Orthopaedic Surgery - Sports Medicine |
Location | 1850 E Park Ave Ste 112, State College, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073173258 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 5151013974 (Michigan) | Secondary |
207XX0005X | Orthopaedic Surgery - Sports Medicine | OS024239 (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 |
Mailing Address | Practice Location Address |
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Jina Libby, DO 500 University Dr, Mc Ca410, Hershey, PA 17033-2360 Ph: (610) 208-4648 | Jina Libby, DO 1850 E Park Ave Ste 112, State College, PA 16803-6706 Ph: (814) 865-3566 |
Dr. Dov A Bader, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1850 E Park Ave, Suite 112, State College, PA 16803 Phone: 814-865-3566 Fax: 814-863-7803 | |
Ronald Lakatos, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 164 Greenview Dr, State College, PA 16803 Phone: 814-237-4321 | |
Jason D Clark, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 239 Colonnade Blvd Ste 2, State College, PA 16803 Phone: 582-220-2310 Fax: 582-220-2311 | |
Scott Edward Eaton, DO Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 101 Regent Ct, State College, PA 16801 Phone: 814-231-2101 | |
Dr. Edwin J Rogusky, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 101 Regent Ct, State College, PA 16801 Phone: 814-231-2101 Fax: 814-231-8569 | |
Thomas J Ellis, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 101 Regent Ct, State College, PA 16801 Phone: 814-231-2101 Fax: 814-231-8569 | |
Dr. Christopher J. Lincoski, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 101 Regent Ct, State College, PA 16801 Phone: 814-231-2101 Fax: 814-231-8569 |