| Dr Jeffrey Michael Fornadley, MD | |
|
500 University Dr, Dept Of Surgery Mc H159, Hershey, PA 17033-2360 | |
| (717) 531-8557 | |
| (717) 531-5393 |
| Full Name | Dr Jeffrey Michael Fornadley |
|---|---|
| Gender | Male |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 13 Years |
| Location | 500 University Dr, Hershey, 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 |
|---|---|---|---|
| 1659633162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | MD471038 (Pennsylvania) | Secondary |
| 208200000X | Plastic Surgery | TP725 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holy Spirit Hospital | Camp hill, PA | Hospital |
| Milton S Hershey Medical Center | Hershey, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Penn State Health Community Medical Group Llc | 8729351077 | 737 |
| 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 Jeffrey Michael Fornadley, MD 500 University Dr, Dept Of Surgery Mc H159, Hershey, PA 17033-2360 Ph: (717) 531-8557 | Dr Jeffrey Michael Fornadley, MD 500 University Dr, Dept Of Surgery Mc H159, Hershey, PA 17033-2360 Ph: (717) 531-8557 |
Timothy Shane Johnson, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 30 Hope Dr Ste 1860, Hershey, PA 17033 Phone: 717-531-8952 Fax: 717-531-0098 | |
Dr. John Michael Roberts, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 717-531-8952 Fax: 717-531-4339 | |
Dr. John Michael Ingraham, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 University Dr, Mch071, Hershey, PA 17033 Phone: 717-531-8372 | |
Thomas D Samson, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 30 Hope Dr Ste 1860, Hershey, PA 17033 Phone: 717-531-8952 Fax: 717-531-0098 | |
Dino Ravnic, D.O. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 University Dr, H071, Hershey, PA 17033 Phone: 717-531-8372 Fax: 717-531-4339 | |
Randy M Hauck, M.D Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 30 Hope Dr Ste 2400, Hershey, PA 17033 Phone: 717-531-5638 Fax: 717-531-0098 |