| Jerome D Derdel, MD | |
|
1800 E Park Ave, State College, PA 16803-6709 | |
| (814) 234-6726 | |
| (814) 234-1553 |
| Full Name | Jerome D Derdel |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 47 Years |
| Location | 1800 E Park Ave, 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 |
|---|---|---|---|
| 1104812601 | NPI | - | NPPES |
| 1104812601 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | MD038685L (Pennsylvania) | Secondary |
| 2085R0203X | Radiology - Therapeutic Radiology | MD038685L (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mount Nittany Medical Center | State college, PA | Hospital |
| Geisinger-lewistown Hospital | Lewistown, PA | Hospital |
| Geisinger Medical Center | Danville, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Geisinger Clinic | 5395657001 | 3078 |
| Mount Nittany Medical Center Health Services Inc | 8426136797 | 296 |
| Entity Name | Geisinger Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
| 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 |
| Entity Name | Pinnacle Health Medical Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932143427 PECOS PAC ID: 7618960493 Enrollment ID: O20040407000180 |
| 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 |
|---|---|
| Jerome D Derdel, MD 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6144 | Jerome D Derdel, MD 1800 E Park Ave, State College, PA 16803-6709 Ph: (814) 234-6726 |
Dr. Mary Ellen Fisher, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 E Park Ave, State College, PA 16803 Phone: 814-231-7000 Fax: 814-234-6795 | |
Dr. Ari Reuben Geselowitz, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 E Park Ave, State College, PA 16803 Phone: 814-234-6137 Fax: 814-234-6795 | |
Dr. Jack D Schocker, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 239 Colonnade Blvd, State College, PA 16803 Phone: 582-220-2218 Fax: 582-220-2219 | |
Jacob Michael Alexander, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 E Park Ave, State College, PA 16803 Phone: 814-231-7000 Fax: 814-231-7098 | |
Anna C Hood, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1850 E Park Ave, Suite 105, State College, PA 16803 Phone: 814-231-3147 Fax: 814-231-7351 | |
Veeral B. Patel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 E Park Ave, State College, PA 16803 Phone: 814-234-6726 Fax: 814-234-1553 |