| Bethany Noelle Jacobs, PA-C | |
|
15 Shenks Ln, Millersville, PA 17551-1982 | |
| (717) 872-5444 | |
| (717) 872-1537 |
| Full Name | Bethany Noelle Jacobs |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 15 Shenks Ln, Millersville, Pennsylvania |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790294288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (Pennsylvania) | Secondary |
| 363A00000X | Physician Assistant | MA059393 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Penn State Health St. Joseph | Reading, PA | Hospital |
| Lancaster General Hospital | Lancaster, PA | Hospital |
| Milton S Hershey Medical Center | Hershey, PA | Hospital |
| Upmc Lititz | Lititz, PA | Hospital |
| Penn State Health Lancaster Medical Center | Lancaster, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Penn State Health Medical Group Llc | 8729351077 | 720 |
| Entity Name | Stephen G. Diamantoni MD and Associates Family Practice, P.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073683108 PECOS PAC ID: 0244123925 Enrollment ID: O20040205001013 |
| Entity Name | Penn State Health Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861988644 PECOS PAC ID: 8729351077 Enrollment ID: O20170907002279 |
| Mailing Address | Practice Location Address |
|---|---|
| Bethany Noelle Jacobs, PA-C 500 University Dr, Mc Ca410, Hershey, PA 17033-2360 Ph: (800) 243-1455 | Bethany Noelle Jacobs, PA-C 15 Shenks Ln, Millersville, PA 17551-1982 Ph: (717) 872-5444 |
Jared Stephan, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15 Shenks Ln, Millersville, PA 17551 Phone: 717-872-5444 |
Elizabeth Lauren Messick, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16 Manor Ave Ste A, Millersville, PA 17551 Phone: 717-872-5444 Fax: 717-872-1537 |