| Dr David Russel Pater, MD | |
|
1790 Old Trail Rd Ste A, Etters, PA 17319-9600 | |
| (717) 938-6588 | |
| (717) 938-9601 |
| Full Name | Dr David Russel Pater |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 40 Years |
| Location | 1790 Old Trail Rd Ste A, Etters, 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 |
|---|---|---|---|
| 1447280862 | NPI | - | NPPES |
| 4389925 | Other | PA | AETNA |
| 542987 | Other | MD | CAREFIRST MD BCBS |
| 001504020 | Medicaid | PA | |
| 071233 | Other | PA | HIGHMARK BLUE SHIELD |
| 1142447 | Other | PA | AMERIHEALTH MERCY-WMG |
| 233291 | Other | PA | MAMSI-WMG |
| 80864 | Other | PA | UNISON-WMG |
| 0147607000 | Other | PA | AMERIHEALTH 65 PA |
| 30048 | Other | PA | JOHNS HOPKINS |
| 35747 | Other | PA | GEISINGER |
| 01127903 | Other | PA | CAPITAL BLUE CROSS-WMG |
| P002884 | Other | PA | GATEWAY-WMG |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD042238E (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| York Hospital | York, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellspan Medical Group | 1951213115 | 2052 |
| 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 David Russel Pater, MD 601 Memory Ln, York, PA 17402-2231 Ph: (717) 851-1405 | Dr David Russel Pater, MD 1790 Old Trail Rd Ste A, Etters, PA 17319-9600 Ph: (717) 938-6588 |
Dr. Kristina Marie Newcomer, D.O Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 496 Shelleys Ln, Etters, PA 17319 Phone: 717-938-6040 | |
Dr. Surender Reddy Edla, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1790 Old Trail Rd, Etters, PA 17319 Phone: 717-938-6588 Fax: 717-938-9601 | |
Archana Patel, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1790 Old Trail Rd, Etters, PA 17319 Phone: 717-938-6588 Fax: 717-938-9601 | |
Dr. Vance Rudy Stouffer Jr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 786 Cartref Rd, Etters, PA 17319 Phone: 717-938-6122 | |
Fauzan Mohiuddin Ahmed, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1790 Old Trail Rd, Etters, PA 17319 Phone: 717-938-6588 Fax: 717-938-9601 | |
Nicholas Ridgley Salter, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1790 Old Trail Rd, Etters, PA 17319 Phone: 717-938-6588 Fax: 717-938-9601 |