| Kristen Clark, AUD | |
| 
					500 University Dr, Hershey, PA 17033-2360  | |
| (717) 531-6822 | |
| Not Available | 
| Full Name | Kristen Clark | 
|---|---|
| Gender | Female | 
| Speciality | Audiologist | 
| Location | 500 University Dr, 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 | 
|---|---|---|---|
| 1609522135 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 231H00000X | Audiologist | 4858 (Massachusetts) | Secondary | 
| 231H00000X | Audiologist | AT006868 (Pennsylvania) | Primary | 
| Provider Name | The Milton S Hershey Medical Center Physicians Group | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1710951744 PECOS PAC ID: 3870405483 Enrollment ID: O20040225000741  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kristen Clark, AUD 321 Billerica Rd Ste 202, Chelmsford, MA 01824-4100 Ph: (978) 256-5557  | Kristen Clark, AUD 500 University Dr, Hershey, PA 17033-2360 Ph: (717) 531-6822  | 
Dr. Madison Cinnamo, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 800-243-1455  | |
Christina D Elejalde,  Audiologist Medicare: Medicare Enrolled Practice Location: 500 University Dr Ste 400, Hershey, PA 17033 Phone: 717-531-6822  | |
Stephanie A Milks, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 800-243-1455 Fax: 717-531-4907  | |
Kirsten A Petrarca, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 717-531-6822 Fax: 717-531-4907  | |
Roxanne Hagenbuch, MS Audiologist Medicare: Not Enrolled in Medicare Practice Location: 500 University Dr, Suite 400, Hershey, PA 17033 Phone: 717-531-3815 Fax: 717-531-4907  | |
Dr. Michele Leslie Gerrish, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 500 University Dr, Upc1 Suite 700, Hershey, PA 17033 Phone: 717-531-7171 Fax: 717-531-0919  | |
Madeline Depascale, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 717-531-6822  |