| Kelsey Taddeo, | |
| 
					500 University Dr, Hershey, PA 17033-2360  | |
| (717) 531-6597 | |
| Not Available | 
| Full Name | Kelsey Taddeo | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 500 University Dr, 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 | 
|---|---|---|---|
| 1578287447 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | RN672951 (Pennsylvania) | Secondary | 
| 367500000X | Nurse Anesthetist, Certified Registered | RN672951 (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 | 
|---|---|
| Kelsey Taddeo, Po Box 858, Mc Ca410, Hershey, PA 17033-0858 Ph: (800) 243-1455  | Kelsey Taddeo, 500 University Dr, Hershey, PA 17033-2360 Ph: (717) 531-6597  | 
Ntiege Ngwane, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 800-243-1455  | |
Amanda Ford,  Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 University Dr, One Children's Hospital Drive, Hershey, PA 17033 Phone: 717-531-6597  | |
Khislat Azizov, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 163 Laurel Dr, Hershey, PA 17033 Phone: 917-755-1893  | |
Nathan Ryan Tomlinson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 717-531-6597 Fax: 717-531-7790  | |
Zachary A Munch, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 800-243-1455 Fax: 717-531-7790  | |
Jesse A Studer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 717-531-6886 Fax: 717-531-3708  | |
Mrs. Emily Racilla, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 800-243-1455  |