Herbert C Hoover Jr, MD - Medicare Surgery in Ephrata, PA

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Herbert C Hoover Jr, MD is a medicare enrolled "Surgery" physician in Ephrata, Pennsylvania. His current practice location is 804 Grandview Dr, Wellspan Surgical Specialists, Ephrata, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (717) 466-2500.

Herbert C Hoover Jr is licensed to practice in Pennsylvania (license number MD055401L) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1386683613.

Contact Information

Herbert C Hoover Jr, MD
804 Grandview Dr, Wellspan Surgical Specialists,
Ephrata, PA 17522
(717) 466-2500
Not Available

Map and Direction




Physician's Profile

Full NameHerbert C Hoover Jr
GenderMale
SpecialitySurgery
Location804 Grandview Dr, Ephrata, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1386683613
  • Provider Enumeration Date: 06/05/2006
  • Last Update Date: 10/30/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0648262790
  • Enrollment ID: I20160203002363

Medical Identifiers

Medical identifiers for Herbert C Hoover Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386683613NPI-NPPES
0015088420006MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 01064871A (Indiana)Secondary
208600000XSurgery MD055401L (Pennsylvania)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Herbert C Hoover Jr allows following entities to bill medicare on his behalf.
Entity NameAspirus Rhinelander & Tomahawk Hospitals & Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144991340
PECOS PAC ID: 9335059856
Enrollment ID: O20031126000706
Entity NameAspirus Medford Hospital & Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285703173
PECOS PAC ID: 5799688602
Enrollment ID: O20040129000007
Entity NameLanglade Hospital - Hotel Dieu Of St Joseph Of Antigo Wisconsin
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831251040
PECOS PAC ID: 1557271202
Enrollment ID: O20040212000310
Entity NameAspirus Riverview Hospital & Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295754844
PECOS PAC ID: 4587658182
Enrollment ID: O20040414000945

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Herbert C Hoover Jr is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Herbert C Hoover Jr, MD
804 Grandview Dr Ste 2,
Ephrata, PA 17522-1681

Ph: (717) 466-2500		Herbert C Hoover Jr, MD
804 Grandview Dr, Wellspan Surgical Specialists,
Ephrata, PA 17522

Ph: (717) 466-2500

Reviews and Comments


Surgery Doctors in Ephrata, PA

William C Piepgrass, M.D.
Surgery
Medicare: Medicare Enrolled
Practice Location: 804 Grandview Dr Ste 2, Ephrata, PA 17522
Phone: 717-466-2500    Fax: 717-733-7865
Carlos Donayre, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 804 Grandview Dr Ste 2, Ephrata, PA 17522
Phone: 717-466-2500    Fax: 717-733-7865
Dr. Leon Salem, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 179 N Reading Rd, Ephrata, PA 17522
Phone: 717-738-0167    Fax: 717-207-8626
Nirutisai K Graff, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 175 Martin Ave, Suite 320, Ephrata, PA 17522
Phone: 717-721-5800    Fax: 717-721-5858
Jeffrey A Keyser, DO
Surgery
Medicare: Medicare Enrolled
Practice Location: 804 Grandview Dr Ste 2, Ephrata, PA 17522
Phone: 717-466-2500    Fax: 717-733-7865
Dr. Heather Feld Portaro, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 804 Grandview Dr, Ephrata, PA 17522
Phone: 717-639-2955    Fax: 717-461-7433

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.