| Ian M Paul, MD | |
|
35 Hope Dr, Suite 102, Hershey, PA 17033-2086 | |
| (717) 531-7300 | |
| (717) 531-3527 |
| Full Name | Ian M Paul |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 35 Hope 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 |
|---|---|---|---|
| 1275585515 | NPI | - | NPPES |
| 0018468210001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD073552L (Pennsylvania) | Primary |
| Entity Name | The Milton S Hershey Medical Center Physicians Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710951744 PECOS PAC ID: 3870405483 Enrollment ID: O20040225000741 |
| 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 |
|---|---|
| Ian M Paul, MD Po Box 854, Mc A410, Hershey, PA 17033-0854 Ph: (717) 531-8521 | Ian M Paul, MD 35 Hope Dr, Suite 102, Hershey, PA 17033-2086 Ph: (717) 531-7300 |
Kanthi Bangalore Krishna, MBBS Pediatrics Medicare: Medicare Enrolled Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 800-243-1455 | |
Emily Elizabeth Gibbons, Pediatrics Medicare: Medicare Enrolled Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 717-531-8521 | |
Mata Alexi Adams, MD, MS Pediatrics Medicare: Medicare Enrolled Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 717-531-8521 | |
Eric J Michael, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 800-233-4082 | |
Timothy Roach, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 717-531-6039 | |
Megan Ilgenfritz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 717-531-5606 Fax: 717-531-0648 | |
Margaret Storm, Pediatrics Medicare: Medicare Enrolled Practice Location: Penn State Health Milton S Hershey Medical Center, 500 University Drive, Hershey, PA 17033 Phone: 717-531-7300 Fax: 717-531-8992 |