Dr Cynthia Theresa Fonder, MD | |
252 S 4th St, Lebanon, PA 17042-6111 | |
(717) 821-8017 | |
Not Available |
Full Name | Dr Cynthia Theresa Fonder |
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Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 252 S 4th St, Lebanon, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548554884 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | MD2011-0264 (New Mexico) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | MD427175 (Pennsylvania) | Primary |
Entity Name | Philhaven |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043316441 PECOS PAC ID: 8729991419 Enrollment ID: O20031110000103 |
Entity Name | Wellspan Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750480299 PECOS PAC ID: 1951213115 Enrollment ID: O20040220000815 |
Mailing Address | Practice Location Address |
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Dr Cynthia Theresa Fonder, MD 283 S. Butler Rd, Mt. Gretna, PA 17064 Ph: () - | Dr Cynthia Theresa Fonder, MD 252 S 4th St, Lebanon, PA 17042-6111 Ph: (717) 821-8017 |
Dr. Umar Khayyam, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 283 South Butler Road, Philhaven Eau, Lebanon, PA 17042 Phone: 717-273-8871 | |
Dr. Beth Grier Townsend, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 220 E Lehman St, Lebanon, PA 17046 Phone: 717-274-3415 | |
Philip D Rodenberger, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 283 S Butler Rd, Lebanon, PA 17042 Phone: 717-273-8871 Fax: 717-270-2429 | |
Erica Smith, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 15 S 9th St, Lebanon, PA 17042 Phone: 717-273-5992 | |
Thomas L Fenstermacher, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 283 S Butler Rd, Lebanon, PA 17042 Phone: 717-273-8871 Fax: 717-270-2452 | |
Dr. Rosemary M Keffer, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 20 S 8th St, Lebanon, PA 17042 Phone: 717-376-1020 | |
Dr. Jason Emejuru, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 283 S Butler Rd, Lebanon, PA 17042 Phone: 717-273-8871 Fax: 717-270-2429 |