| Theodore L Hetrick Jr, MD | |
|
400 Highland Ave, Lewistown, PA 17044-1167 | |
| (717) 242-7180 | |
| (717) 242-7299 |
| Full Name | Theodore L Hetrick Jr |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 49 Years |
| Location | 400 Highland Ave, Lewistown, 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 |
|---|---|---|---|
| 1619904497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD018356E (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Geisinger Medical Center | Danville, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pennsylvania Department Of Human Services | 0547168064 | 21 |
| Entity Name | Pennsylvania Department Of Human Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508849738 PECOS PAC ID: 0547168064 Enrollment ID: O20040220000039 |
| Mailing Address | Practice Location Address |
|---|---|
| Theodore L Hetrick Jr, MD 400 Highland Ave, Lewistown, PA 17044-1167 Ph: (717) 242-7180 | Theodore L Hetrick Jr, MD 400 Highland Ave, Lewistown, PA 17044-1167 Ph: (717) 242-7180 |
Adam Musgrove, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Highland Ave, Lewistown, PA 17044 Phone: 717-242-7185 Fax: 717-242-7299 | |
Deborah S Hopkins, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Highland Ave, Lewistown, PA 17044 Phone: 717-242-7180 Fax: 717-242-7299 | |
Rachel Polinski, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Highland Ave, Lewistown, PA 17044 Phone: 717-242-7180 Fax: 717-242-7299 | |
Dr. Robert Charles Oelhaf Jr., MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Highland Ave, Lewistown, PA 17044 Phone: 717-242-7180 Fax: 717-242-7299 | |
Dr. Sameer Sinha, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 400 Highland Ave, Lewistown, PA 17044 Phone: 717-242-7185 Fax: 717-242-7299 | |
Daniel S Reifsnyder, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 400 Highland Ave, Lewistown, PA 17044 Phone: 717-242-7180 Fax: 717-242-7299 | |
Ms. Maria Christine Sember, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Highland Ave, Lewistown, PA 17044 Phone: 717-242-7180 |