Penn State Health Medical Group, Llc is a
Dermatology based in Camp Hill, Pennsylvania. Penn State Health Medical Group, Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
890 Poplar Church Rd Ste 210, Camp Hill, Pennsylvania. It can be reached at their office (for appointments etc.) via phone at
(717) 724-6320.
NPI number for Penn State Health Medical Group, Llc is 1407500143 and their current mailing address is Po Box 825972, Philadelphia, Pennsylvania. Penn State Health Medical Group, Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1407500143.
Healthcare Provider's Profile
| Full Name | Penn State Health Medical Group, Llc |
|---|
| Type | Facility |
|---|
| Speciality | Dermatology |
|---|
| Location | 890 Poplar Church Rd Ste 210, Camp Hill, Pennsylvania |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1407500143
- Provider Enumeration Date: 02/11/2022
- Last Update Date: 02/03/2026
Medical Identifiers
Medical identifiers for Penn State Health Medical Group, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407500143 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | (* (Not Available)) | Secondary |
| 208600000X | Surgery | (* (Not Available)) | Secondary |
| 207RH0002X | Internal Medicine - Hospice And Palliative Medicine | (* (Not Available)) | Secondary |
| 213E00000X | Podiatrist | (* (Not Available)) | Secondary |
| 207RR0500X | Internal Medicine - Rheumatology | (* (Not Available)) | Secondary |
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | (* (Not Available)) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Secondary |
| 207Y00000X | Otolaryngology | (* (Not Available)) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Secondary |
| 207N00000X | Dermatology | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Penn State Health Medical Group, Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Penn State Health Medical Group, Llc
Po Box 825972,
Philadelphia, PA 19182-5972
Ph: (717) 531-4859 | Penn State Health Medical Group, Llc
890 Poplar Church Rd Ste 210,
Camp Hill, PA 17011-2250
Ph: (717) 724-6320 |
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