| Jason Ferderber, | |
|
1700 Old Gatesburg Rd Ste 200, State College, PA 16803-2276 | |
| (814) 237-4321 | |
| (814) 235-0484 |
| Full Name | Jason Ferderber |
|---|---|
| Gender | Male |
| Speciality | Sports Medicine |
| Experience | 9 Years |
| Location | 1700 Old Gatesburg Rd Ste 200, State College, 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 |
|---|---|---|---|
| 1023544053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PS0010X | Emergency Medicine - Sports Medicine | MD467872 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mount Nittany Medical Center | State college, PA | Hospital |
| Geisinger-lewistown Hospital | Lewistown, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Phoenix Rehabilitation And Health Services Inc | 3476464298 | 1824 |
| Mount Nittany Medical Center Health Services Inc | 8426136797 | 296 |
| Entity Name | University Of Pittsburgh Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619935004 PECOS PAC ID: 8729990239 Enrollment ID: O20040308000883 |
| Entity Name | Mount Nittany Medical Center Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598992554 PECOS PAC ID: 8426136797 Enrollment ID: O20081021000240 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Ferderber, 1700 Old Gatesburg Rd Ste 200, State College, PA 16803-2276 Ph: (814) 237-4321 | Jason Ferderber, 1700 Old Gatesburg Rd Ste 200, State College, PA 16803-2276 Ph: (814) 237-4321 |
Dr. Kevin Allan Mishock, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 E Park Ave, Mount Nittany Medical Center, State College, PA 16803 Phone: 814-234-6110 | |
Dr. Christine Louise Tichansky, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 Radnor Rd, Ste 100, State College, PA 16801 Phone: 814-231-7868 Fax: 814-238-4169 | |
Teresa Dolan, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1800 E Park Ave, C/o Mount Nittany Medical Center, State College, PA 16803 Phone: 814-234-6110 | |
Dr. Kasandra Ann Botti, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1800 E Park Ave, State College, PA 16803 Phone: 814-234-6110 | |
Dr. Ryan Michael Burton, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1800 E Park Ave, State College, PA 16803 Phone: 814-234-6110 | |
Dr. Mina Salib, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 University Dr, State College, PA 16801 Phone: 814-375-4045 |