| Angela M Klock, CNM | |
| 
					35 Hope Drive, Suites 202/204, Hershey, PA 17033-2086  | |
| (717) 531-3503 | |
| (717) 531-4375 | 
| Full Name | Angela M Klock | 
|---|---|
| Gender | Female | 
| Speciality | Advanced Practice Midwife | 
| Location | 35 Hope Drive, 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 | 
|---|---|---|---|
| 1609056092 | NPI | - | NPPES | 
| 101814491 | Medicaid | PA | |
| 100746682 0006 | Medicaid | PA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | RN507577L (Pennsylvania) | Secondary | 
| 367A00000X | Advanced Practice Midwife | MW010391 (Pennsylvania) | Primary | 
| 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 | 
|---|---|
| Angela M Klock, CNM Po Box 858, Mc A410, Hershey, PA 17033-0858 Ph: (800) 243-1455  | Angela M Klock, CNM 35 Hope Drive, Suites 202/204, Hershey, PA 17033-2086 Ph: (717) 531-3503  | 
Naomi Yoder, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 35 Hope Drive Ste 202/204, Hershey, PA 17033 Phone: 717-531-3503 Fax: 717-531-4375  | |
Giovanna Rosina Biles, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 35 Hope Dr Ste 202-204, Hershey, PA 17033 Phone: 717-531-8550  | |
Ms. Sharon A Wachob, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 35 Hope Dr, Hershey, PA 17033 Phone: 717-531-3503 Fax: 717-531-4375  | |
Kelli Diodato,  Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 35 Hope Drive, Suite 202/204, Hershey, PA 17033 Phone: 717-531-3503 Fax: 717-531-4375  |