| Jose N Prudencio Jr, MD | |
|
815 Sir Thomas Ct Ste 200, Harrisburg, PA 17109-4839 | |
| (717) 724-0720 | |
| (717) 724-0730 |
| Full Name | Jose N Prudencio Jr |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 47 Years |
| Location | 815 Sir Thomas Ct Ste 200, Harrisburg, 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 |
|---|---|---|---|
| 1376590588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | MD035222E (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pinnacle Health Hospitals | Harrisburg, PA | Hospital |
| Fulton County Medical Center | Mcconnellsburg, PA | Hospital |
| Upmc Memorial | York, PA | Hospital |
| Holy Spirit Hospital | Camp hill, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fulton County Medical Center | 6406841295 | 25 |
| Pinnacle Health Medical Services | 7618960493 | 976 |
| 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 | Fulton County Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326044694 PECOS PAC ID: 6406841295 Enrollment ID: O20040420000435 |
| Mailing Address | Practice Location Address |
|---|---|
| Jose N Prudencio Jr, MD 815 Sir Thomas Ct Ste 200, Harrisburg, PA 17109-4839 Ph: (717) 724-0720 | Jose N Prudencio Jr, MD 815 Sir Thomas Ct Ste 200, Harrisburg, PA 17109-4839 Ph: (717) 724-0720 |
Mr. Peter Joseph Tucker, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 815 Sir Thomas Ct Ste 200, Harrisburg, PA 17109 Phone: 717-724-0720 Fax: 717-724-0730 | |
Mr. Emerson Leroy Knight Jr., MD Urology Medicare: Medicare Enrolled Practice Location: 304 N Paxtang Ave, Harrisburg, PA 17111 Phone: 717-982-8420 Fax: 717-564-6212 | |
Mr. George Bernard Boline Jr., MD Urology Medicare: Accepting Medicare Assignments Practice Location: 815 Sir Thomas Ct Ste 200, Harrisburg, PA 17109 Phone: 717-724-0720 Fax: 717-724-0730 | |
Mihailo Popovic, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 815 Sir Thomas Ct Ste 200, Harrisburg, PA 17109 Phone: 717-724-0720 Fax: 717-724-0730 | |
Mr. Frank Charles Damico, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 815 Sir Thomas Ct Ste 200, Harrisburg, PA 17109 Phone: 717-724-0720 Fax: 717-724-0730 | |
Lewis E Harpster, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 815 Sir Thomas Ct Ste 200, Harrisburg, PA 17109 Phone: 717-724-0720 Fax: 717-724-0730 |