| Andrea Marie Requa, DO | |
|
5125 Jonestown Rd Ste 105, Harrisburg, PA 17112-2987 | |
| (717) 943-1566 | |
| (717) 943-1567 |
| Full Name | Andrea Marie Requa |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 5125 Jonestown Rd Ste 105, Harrisburg, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144284654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS007422E (Pennsylvania) | Primary |
| Entity Name | Pennsylvania Department Of Human Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376526111 PECOS PAC ID: 0547168064 Enrollment ID: O20040930000019 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Marie Requa, DO Po Box 758952, Baltimore, MD 21275-8952 Ph: (804) 968-5700 | Andrea Marie Requa, DO 5125 Jonestown Rd Ste 105, Harrisburg, PA 17112-2987 Ph: (717) 943-1566 |
David Bittner Metzger, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-231-8772 Fax: 717-231-8435 | |
Dr. Michael Timothy Partin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 121 Nyes Road, Suite A, Hp09, Harrisburg, PA 17112 Phone: 717-657-4040 Fax: 717-671-9038 | |
Melissa Denham Gage, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5125 Jonestown Rd Ste 105, Harrisburg, PA 17112 Phone: 717-943-1566 | |
Abraham Robert Taylor, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 121 N Nyes Rd Ste A, Harrisburg, PA 17112 Phone: 717-657-4040 Fax: 717-671-9038 | |
Dr. Brendan Scot Tanner, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-231-8772 Fax: 717-231-8435 | |
Dr. Denise F Montisano, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 805 Sir Thomas Ct, 2nd Floor, Harrisburg, PA 17109 Phone: 717-657-3030 Fax: 717-671-0991 | |
Dr. Bolanle Asuni Limann, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 S 17th St, Harrisburg, PA 17104 Phone: 717-232-9971 |