| Jared Stephan, | |
|
15 Shenks Ln, Millersville, PA 17551-1982 | |
| (717) 872-5444 | |
| Not Available |
| Full Name | Jared Stephan |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 15 Shenks Ln, Millersville, 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 |
|---|---|---|---|
| 1376372508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | 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 |
| 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 | 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 |
|---|---|
| Jared Stephan, 500 University Dr, Mc Ca410, Hershey, PA 17033 Ph: (800) 243-1455 | Jared Stephan, 15 Shenks Ln, Millersville, PA 17551-1982 Ph: (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 |
Bethany Noelle Jacobs, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15 Shenks Ln, Millersville, PA 17551 Phone: 717-872-5444 Fax: 717-872-1537 |