Roderick Clark, MD | |
500 University Dr Rm C4830, Hershey, PA 17033-2360 | |
(717) 531-1132 | |
(717) 531-4475 |
Full Name | Roderick Clark |
---|---|
Gender | Male |
Speciality | Urology |
Location | 500 University Dr Rm C4830, Hershey, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538880281 | NPI | - | NPPES |
CAMD-0160-2520 | Other | CANADIAN MEDICAL IDENTIFICATION NUMBER (MINC) |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | MD478170 (Pennsylvania) | Primary |
Entity Name | The Milton S Hershey Medical Center Physicians Group |
---|---|
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 |
---|---|
Roderick Clark, MD 500 University Dr Rm C4830, Hershey, PA 17033-2360 Ph: (717) 531-1132 | Roderick Clark, MD 500 University Dr Rm C4830, Hershey, PA 17033-2360 Ph: (717) 531-1132 |
Frank B Mahon, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 800-233-4082 | |
Dr. Prabhjot Singh, MD Urology Medicare: Medicare Enrolled Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 800-243-1455 Fax: 717-531-4974 | |
Dr. George Thomas Zahorian Iii, D.O., F.A.C.O.S. Urology Medicare: Accepting Medicare Assignments Practice Location: 475 W Governor Rd, Suite 6, Hershey, PA 17033 Phone: 973-768-5168 | |
Dr. Bruce B Frantz, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 717-531-8887 Fax: 717-531-4475 | |
Jay Dilip Raman, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 717-531-8887 Fax: 717-531-4475 | |
Dr. Thomas Michael Fitzgibbon Jr., MD, MSC Urology Medicare: Medicare Enrolled Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 800-243-1455 | |
Dr. Matthew Kaag, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 800-243-1455 |