| Pamela A Clark, MD | |
|
35 Hope Dr Ste 104, Hershey, PA 17033-2008 | |
| (717) 531-8550 | |
| Not Available |
| Full Name | Pamela A Clark |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Pediatric Endocrinology |
| Location | 35 Hope Dr Ste 104, 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 |
|---|---|---|---|
| 1851364277 | NPI | - | NPPES |
| Q021551 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0205X | Pediatrics - Pediatric Endocrinology | 54205 (Tennessee) | Secondary |
| 2080P0205X | Pediatrics - Pediatric Endocrinology | MD486764C (Pennsylvania) | Primary |
| Entity Name | Chattanooga Hamilton County Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154751931 PECOS PAC ID: 0547179731 Enrollment ID: O20040302001086 |
| Entity Name | Erlanger Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477256303 PECOS PAC ID: 1153780226 Enrollment ID: O20230707000849 |
| Mailing Address | Practice Location Address |
|---|---|
| Pamela A Clark, MD 500 University Dr, Hershey, PA 17033-2360 Ph: (800) 243-1455 | Pamela A Clark, MD 35 Hope Dr Ste 104, Hershey, PA 17033-2008 Ph: (717) 531-8550 |
Kanthi Bangalore Krishna, MBBS Pediatrics Medicare: Accepting Medicare Assignments 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 |