Michael P Hetrick, CRNA | |
503 N 21st St, Camp Hill, PA 17011-2204 | |
(717) 763-2100 | |
(717) 975-0779 |
Full Name | Michael P Hetrick |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 503 N 21st St, Camp Hill, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316108186 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 079772 (North Carolina) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | RN646665 (Pennsylvania) | Primary |
Entity Name | Spirit Physician Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093013328 PECOS PAC ID: 8022922202 Enrollment ID: O20040402000053 |
Entity Name | Penn State Health Community Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861988644 PECOS PAC ID: 8729351077 Enrollment ID: O20170907002279 |
Mailing Address | Practice Location Address |
---|---|
Michael P Hetrick, CRNA 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6144 | Michael P Hetrick, CRNA 503 N 21st St, Camp Hill, PA 17011-2204 Ph: (717) 763-2100 |
Ms. Diana L Shepley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 503 N 21st St, Camp Hill, PA 17011 Phone: 717-763-2121 Fax: 717-972-6944 | |
Gale S Fenstermacher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 899 Poplar Church Rd, Camp Hill, PA 17011 Phone: 717-763-0430 Fax: 717-763-9854 | |
Ms. Patricia A Barder, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 503 N 21st St, Holy Spirit Hosp, Camp Hill, PA 17011 Phone: 717-763-2121 | |
Eloyce Spong, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 207 S 32nd St, Camp Hill, PA 17011 Phone: 717-763-1970 Fax: 717-975-2891 | |
Mrs. Mary Diane Hartman, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 503 N 21st Street, Camp Hill, PA 17011 Phone: 717-763-2121 Fax: 717-972-6944 | |
Mrs. Ina M Binkie, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: N 21st Street, Holy Spirit Hospital, Camp Hill, PA 17011 Phone: 717-763-2100 | |
Jeanmarie O Bowman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 503 N 21st St, Camp Hill, PA 17011 Phone: 717-763-2100 Fax: 717-975-0779 |