| Benjamin Hagan, MD | |
|
252 S 4th St, Lebanon, PA 17042-6111 | |
| (717) 270-7688 | |
| (717) 270-3790 |
| Full Name | Benjamin Hagan |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| 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 |
|---|---|---|---|
| 1639796642 | NPI | - | NPPES |
| 104318002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | LP05100 (Rhode Island) | Secondary |
| 207P00000X | Emergency Medicine | MD484854 (Pennsylvania) | Primary |
| Entity Name | The Good Samaritan Hospital Of Lebanon, Pennsylvania |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730754284 PECOS PAC ID: 5597751206 Enrollment ID: O20040420001427 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Hagan, MD 601 Memory Ln, York, PA 17402-2231 Ph: (717) 851-1405 | Benjamin Hagan, MD 252 S 4th St, Lebanon, PA 17042-6111 Ph: (717) 270-7688 |
Marcus Alexander Saunders, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 252 S 4th St, Lebanon, PA 17042 Phone: 717-270-7688 Fax: 717-270-3790 | |
Dr. Nina L Elliott, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 252 S 4th St, Lebanon, PA 17042 Phone: 717-270-7688 Fax: 717-270-3790 | |
Dr. Jonathan S Rill, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 252 S 4th St, Lebanon, PA 17042 Phone: 717-270-7688 Fax: 717-270-3790 | |
Dr. Nicolau N Dacosta, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 252 S 4th St, Lebanon, PA 17042 Phone: 717-270-7688 Fax: 717-270-3790 | |
Steven J Berk, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 252 S 4th St, Lebanon, PA 17042 Phone: 717-270-7688 Fax: 717-270-3790 | |
Dr. Bruce K Eagleson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4th & Walnut Streets, Good Samaritan Hospital, Lebanon, PA 17042 Phone: 717-270-7740 Fax: 717-270-2227 | |
Robert J Balogh Jr., MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4th & Walnut Streets, Good Samaritan Hospital, Lebanon, PA 17042 Phone: 717-270-7740 Fax: 717-270-2227 |