| Dr Jagadeesh K Moola, MD | |
|
503 N 21st St, Camp Hill, PA 17011-2204 | |
| (717) 763-2219 | |
| (717) 972-4844 |
| Full Name | Dr Jagadeesh K Moola |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 47 Years |
| Location | 503 N 21st St, Camp Hill, Pennsylvania |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952307746 | NPI | - | NPPES |
| 232420975 | Other | PA | TAX ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD027960 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holy Spirit Hospital | Camp hill, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Penn State Health Community Medical Group Llc | 8729351077 | 737 |
| Entity Name | Diakon Child Family & Community Ministries |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861802035 PECOS PAC ID: 8820310279 Enrollment ID: O20141215000318 |
| Entity Name | Penn State Health Community Medical Group Llc |
|---|---|
| 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 |
|---|---|
| Dr Jagadeesh K Moola, MD 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6144 | Dr Jagadeesh K Moola, MD 503 N 21st St, Camp Hill, PA 17011-2204 Ph: (717) 763-2219 |
Dr. Anthony Louis Montecalvo, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 503 N 21st St, Camp Hill, PA 17011 Phone: 717-763-2219 Fax: 717-972-4844 | |
Kimberly Sue Ford, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 503 N 21st St, Camp Hill, PA 17011 Phone: 717-763-2219 | |
Dr. Kathryn Ann Klunk, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2500 Lisburn Rd, Camp Hill, PA 17011 Phone: 717-737-4531 | |
Dr. Pamela Rollings Mazza, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 503 N 21st St, Camp Hill, PA 17011 Phone: 717-763-2249 | |
Tyanne I Graham, CRNP Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 503 N 21st St, Camp Hill, PA 17011 Phone: 717-763-2260 Fax: 717-763-2261 | |
Dr. Amanullah Khan, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 503 N 21st St, Camp Hill, PA 17011 Phone: 717-763-2260 | |
Dr. Shiv Shankar Aggarwal, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 503 N 21st St, Camp Hill, PA 17011 Phone: 717-763-2219 |