Marina Michele Jeffery, | |
1800 E Park Ave, State College, PA 16803-6701 | |
(814) 278-4818 | |
Not Available |
Full Name | Marina Michele Jeffery |
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Gender | Female |
Speciality | Family Medicine |
Location | 1800 E Park Ave, 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 |
---|---|---|---|
1205396967 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | OS022262 (Pennsylvania) | Secondary |
207Q00000X | Family Medicine | 338149 (Louisiana) | Secondary |
207Q00000X | Family Medicine | OS022262 (Pennsylvania) | Primary |
Entity Name | Mount Nittany Medical Center Health Services Inc |
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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 |
---|---|
Marina Michele Jeffery, 1800 E Park Ave, State College, PA 16803-6701 Ph: (814) 278-4818 | Marina Michele Jeffery, 1800 E Park Ave, State College, PA 16803-6701 Ph: (814) 278-4818 |
Dr. Ryan R Ridenour, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 E Park Ave, State College, PA 16803 Phone: 814-278-4818 Fax: 814-234-6150 | |
Dr. Wasiq Mateen Ahmad, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1850 E Park Ave Ste 207, State College, PA 16803 Phone: 814-235-2480 | |
Franklin James Berkey, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 476 Rolling Ridge Dr, Suite 101, State College, PA 16801 Phone: 814-689-4980 Fax: 814-689-4990 | |
Stephen Pandolph, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1528 Martin St, Suite 210, State College, PA 16803 Phone: 814-234-4811 | |
Gary Franklin Schell, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 140 W North Hills Pl, State College, PA 16803 Phone: 814-238-8880 Fax: 814-765-8499 | |
Stacy Emile, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 E Park Ave, State College, PA 16803 Phone: 814-278-4818 | |
Jesse Julian Miller, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1850 E Park Ave Ste 112, State College, PA 16803 Phone: 800-243-1455 Fax: 814-863-7803 |