Dr Cynthia Theresa Fonder, MD in Lebanon, PA - Medicare Psychiatry & Neurology

Dr Cynthia Theresa Fonder, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Lebanon, Pennsylvania. Her current practice location is 252 S 4th St, Lebanon, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (717) 821-8017.

Dr Cynthia Theresa Fonder is licensed to practice in Pennsylvania (license number MD427175) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1548554884.

Contact Information

	Dr Cynthia Theresa Fonder, MD
	252 S 4th St, Lebanon, PA 17042-6111
	(717) 821-8017
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Cynthia Theresa Fonder
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.

NPI Data:

NPI Number: 1548554884
Provider Enumeration Date: 06/03/2011
Last Update Date: 04/07/2025

Medicare PECOS Information:

PECOS PAC ID: 8022289453
Enrollment ID: I20121029000077

Medical Identifiers

Medical identifiers for Dr Cynthia Theresa Fonder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548554884	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	MD427175 (Pennsylvania)	Primary
2084P0800X	Psychiatry & Neurology - Psychiatry	MD2011-0264 (New Mexico)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Cynthia Theresa Fonder allows following entities to bill medicare on her behalf.

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

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. Dr Cynthia Theresa Fonder is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Cynthia Theresa Fonder, MD 601 Memory Ln, York, PA 17402-2231 Ph: (717) 851-1405	Dr Cynthia Theresa Fonder, MD 252 S 4th St, Lebanon, PA 17042-6111 Ph: (717) 821-8017

Reviews and Comments

Psychiatry & Neurology Doctors in Lebanon, PA

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
Dr. Christopher Wayne Vaughn, DO Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1700 S Lincoln Ave, Lebanon, PA 17042 Phone: 717-272-6621 Fax: 717-228-6169
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
Saiqa Mushtaq, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 283 S Butler Rd, Lebanon, PA 17042 Phone: 717-270-2422

Dr Cynthia Theresa Fonder, MD - Medicare Psychiatry & Neurology in Lebanon, PA