Evan Michael Fox, M.D.
Individual provider Active NPI Emergency Medicine Physician · Hershey, PA
NPI 1336673128 · NPPES record last updated Jan 28, 2022
Key facts
- NPI
- 1336673128
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- MD470576 (PA)
- Practice address
- 500 University Dr
Penn State Health Milton S. Hershey Medical Center
Hershey, PA 17033-2360 - Phone
- (800) 243-1455
- NPI assigned
- Apr 18, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Perelman School of Med at the University of Pennsylvania, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Chambersburg Hospital
Waynesboro Hospital
Practice addresses (Care Compare)
112 N 7TH St
Chambersburg, PA 17201-1720
176 S Coldbrook Ave
The Chambersburg Hospital Psychiatric Outpa
Chambersburg, PA 17201-2714
Phone (717) 267-7480
501 E Main St
Hosp Emergency Dept
Waynesboro, PA 17268-2394
Phone (717) 765-3400
Hospital & facility affiliations
- Wellspan Chambersburg Hospital
- Wellspan Waynesboro Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200702002681 | PA | Practitioner - Emergency Medicine | 8022431311 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD470576 | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pottstown Clinic Company LLC | Emergency Medicine | Current |
Accepting new patients |
| The Chambersburg Hospital | Current |
Accepting new patients | |
| The Chambersburg Hospital | Current |
Accepting new patients | |
| Waynesboro Hospital | Current |
Accepting new patients | |
| Waynesboro Hospital | Emergency Medicine | Current |
Accepting new patients |
| Waynesboro Hospital | Current | Accepting new patients |
Locations
785 5th Ave
Ste 3
Chambersburg, PA 17201
176 S Coldbrook Ave
Chambersburg, PA 17201
Phone (717) 263-0550
112 N 7th St
Chambersburg, PA 17201
Phone (717) 217-4300
1600 E High St
Pottstown, PA 19464
Phone (610) 327-7485
730 S Hanover St
Pottstown, PA 19465
Phone (610) 323-6835
501 E Main St
Waynesboro, PA 17268
Phone (717) 765-3400
Interoperability endpoints
- efox294551@wellspan.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD470576 | PA | Yes |
Addresses
Primary practice location
500 University Dr
Penn State Health Milton S. Hershey Medical Center
Hershey, PA 17033-2360
Mailing address
500 University Dr
Penn State Health Milton S. Hershey Medical Center
Hershey, PA 17033-2360
Phone (800) 243-1455
Other practice location 1
1600 E High St
Pottstown, PA 19464-5008
Phone (610) 327-7744
Other practice location 2
501 East Main Street
Waynesboro Hospital Emergency Department
Waynesboro, PA 17268
Phone (717) 765-3400
Other practice location 3
112 North 7th Street
Chambersburg Hospital Emergency Department
Chambersburg, PA 17201
Phone (717) 267-7146
Other providers in Hershey, PA
- Lisa Foster
- Shannon M Foster
- Joseph Stephen Fotos
- Galen Toye Foulke
- Edward J Fox
- Lorick F Fox Jr.
- Jenna V Franciscus
- Patrick Healy Frangos
- Amanda Frank
- David Frankenfield
All providers in Hershey, PA · Emergency Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.