Angela M Klock, CNM | |
35 Hope Drive, Suites 202/204, Hershey, PA 17033-2086 | |
(717) 531-3503 | |
(717) 531-4375 |
Full Name | Angela M Klock |
---|---|
Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 35 Hope Drive, 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 |
---|---|---|---|
1609056092 | NPI | - | NPPES |
101814491 | Medicaid | PA | |
100746682 0006 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN507577L (Pennsylvania) | Secondary |
367A00000X | Advanced Practice Midwife | MW010391 (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 |
---|---|
Angela M Klock, CNM Po Box 858, Mc A410, Hershey, PA 17033-0858 Ph: (800) 243-1455 | Angela M Klock, CNM 35 Hope Drive, Suites 202/204, Hershey, PA 17033-2086 Ph: (717) 531-3503 |
Naomi Yoder, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 35 Hope Drive Ste 202/204, Hershey, PA 17033 Phone: 717-531-3503 Fax: 717-531-4375 | |
Giovanna Rosina Biles, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 35 Hope Dr Ste 202-204, Hershey, PA 17033 Phone: 717-531-8550 | |
Kelli Diodato, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 35 Hope Drive, Suite 202/204, Hershey, PA 17033 Phone: 717-531-3503 Fax: 717-531-4375 |