| Dr Albert Fombu, MD | |
|
169 Martin Ave, Ephrata, PA 17522-1724 | |
| (717) 733-0311 | |
| (717) 738-6735 |
| Full Name | Dr Albert Fombu |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 29 Years |
| Location | 169 Martin Ave, Ephrata, Pennsylvania |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417229535 | NPI | - | NPPES |
| 103067285 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD454252 (Pennsylvania) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Philhaven | 8729991419 | 82 |
| Entity Name | Philhaven |
|---|---|
| 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 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669770004 PECOS PAC ID: 1951213115 Enrollment ID: O20040220000815 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Albert Fombu, MD 601 Memory Ln, York, PA 17402-2231 Ph: (717) 851-1405 | Dr Albert Fombu, MD 169 Martin Ave, Ephrata, PA 17522-1724 Ph: (717) 733-0311 |
Dr. Shirani David Rajan, MD MSPH Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 207 W Fulton St, Ephrata, PA 17522 Phone: 717-721-8789 Fax: 717-715-1360 | |
John Shand, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-733-0311 | |
Dr. Rizalino S Cruz, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-738-6400 Fax: 717-738-6735 | |
Bandhu Paudyal, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 207 W Fulton St, Ephrata, PA 17522 Phone: 717-721-8789 Fax: 717-715-1360 | |
Andrew Stein, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 207 W Fulton St, Ephrata, PA 17522 Phone: 717-721-8789 Fax: 717-715-1360 | |
Dr. Justin R Fisher, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 207 W Fulton St, Ephrata, PA 17522 Phone: 717-721-8789 Fax: 717-715-1360 |