| Jennifer Lynn Kissane, MD | |
|
252 S 4th St, Lebanon, PA 17042-6111 | |
| (717) 270-7732 | |
| (717) 270-7639 |
| Full Name | Jennifer Lynn Kissane |
|---|---|
| Gender | Female |
| Speciality | Interventional Radiology |
| Experience | 14 Years |
| Location | 252 S 4th St, Lebanon, Pennsylvania |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164700225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0204X | Radiology - Vascular & Interventional Radiology | MD461001 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Good Samaritan Hospital | Lebanon, PA | Hospital |
| Wellspan Ephrata Community Hospital | Ephrata, PA | Hospital |
| Gettysburg Hospital | Gettysburg, PA | Hospital |
| York Hospital | York, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellspan Medical Group | 1951213115 | 2052 |
| Entity Name | Wellspan Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669770004 PECOS PAC ID: 1951213115 Enrollment ID: O20040220000815 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Lynn Kissane, MD 601 Memory Ln, York, PA 17402-2231 Ph: (717) 851-1405 | Jennifer Lynn Kissane, MD 252 S 4th St, Lebanon, PA 17042-6111 Ph: (717) 270-7732 |
Juan C. Blas-boria, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 252 S 4th St, Lebanon, PA 17042 Phone: 717-270-7732 Fax: 717-270-7639 | |
Dr. Kenneth A Griggs, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 252 S 4th St, Lebanon, PA 17042 Phone: 717-270-7732 Fax: 717-270-7639 | |
Roberto Dyreyes, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: Fourth And Walnut Streets, Radiology Department, Lebanon, PA 17042 Phone: 717-270-7642 Fax: 717-272-7069 | |
Dr. Joseph Martin Clark, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 16 E High St, Lebanon, PA 17042 Phone: 717-272-6061 Fax: 717-272-6061 | |
Philip Dennison Stieg, M.D. Radiology Medicare: Medicare Enrolled Practice Location: Fourth & Walnut Streets, Radiology Department, Lebanon, PA 17042 Phone: 717-270-7645 Fax: 717-270-7639 | |
Dr. Chaitali Shah, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 252 S 4th St, Lebanon, PA 17042 Phone: 717-270-7732 Fax: 717-270-7639 |