| Jesus L Rodriguez Rivero, FNP-C | |
|
2200 Good Hope Rd, Enola, PA 17025-1210 | |
| (717) 981-9000 | |
| Not Available |
| Full Name | Jesus L Rodriguez Rivero |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 2200 Good Hope Rd, Enola, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932993375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | SP031908 (Pennsylvania) | Primary |
| Entity Name | Penn State Health Community 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 |
|---|---|
| Jesus L Rodriguez Rivero, FNP-C 500 University Dr, Mc Ca410, Hershey, PA 17033-2360 Ph: (800) 243-1455 | Jesus L Rodriguez Rivero, FNP-C 2200 Good Hope Rd, Enola, PA 17025-1210 Ph: (717) 981-9000 |
Richard Keene, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 310 E Penn Dr., Enola, PA 17025 Phone: 717-857-2490 | |
Samantha Blood, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1824 Good Hope Rd, Enola, PA 17025 Phone: 717-988-9015 Fax: 717-221-5410 | |
Ashley Miller, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4510 Marketplace Way, Enola, PA 17025 Phone: 717-547-6108 Fax: 717-547-6189 | |
Mary E Dixon, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1830 Good Hope Rd, Enola, PA 17025 Phone: 717-652-9555 Fax: 717-791-2621 | |
Lynn Ann Gerlach, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1824 Good Hope Rd, Enola, PA 17025 Phone: 717-732-8877 Fax: 717-732-9241 | |
Mr. Todd John Leonard Lesko, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1830 Good Hope Rd, Enola, PA 17025 Phone: 717-732-8877 Fax: 717-732-9241 | |
Ms. Emily K Muscalus, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1824 Good Hope Rd, Enola, PA 17025 Phone: 717-732-8877 Fax: 717-732-9241 |