Dr Eben Alexander Iv, DO | |
107 S Sporting Hill Rd, Mechanicsburg, PA 17050-3058 | |
(717) 943-1781 | |
Not Available |
Full Name | Dr Eben Alexander Iv |
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Gender | Male |
Speciality | Physical Medicine & Rehabilitation |
Location | 107 S Sporting Hill Rd, Mechanicsburg, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164089058 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208100000X | Physical Medicine & Rehabilitation | 0102207354 (Virginia) | Secondary |
208100000X | Physical Medicine & Rehabilitation | OS023243 (Pennsylvania) | Primary |
Entity Name | Patient First Richmond Medical Group Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689603748 PECOS PAC ID: 9931011434 Enrollment ID: O20131211001473 |
Mailing Address | Practice Location Address |
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Dr Eben Alexander Iv, DO 5124 Liberty Ave, Pittsburgh, PA 15224-2290 Ph: (412) 359-8191 | Dr Eben Alexander Iv, DO 107 S Sporting Hill Rd, Mechanicsburg, PA 17050-3058 Ph: (717) 943-1781 |
Stacey Lynn Martin, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 100 Mount Allen Dr, Mechanicsburg, PA 17055 Phone: 717-873-2919 | |
Matthew Shradley, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 100 Mount Allen Dr, Mechanicsburg, PA 17055 Phone: 717-589-4316 | |
Hong S. Park, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 5124 E Trindle Rd, Mechanicsburg, PA 17050 Phone: 717-795-7943 Fax: 717-795-7942 | |
Michael F Lupinacci Ii, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 175 Lancaster Blvd, Mechanicsburg, PA 17055 Phone: 717-691-3755 Fax: 717-691-3834 | |
Ashley Kirk, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 100 Mount Allen Dr, Mechanicsburg, PA 17055 Phone: 717-697-4666 | |
Dr. Brady Michael Wahlberg, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 856 Century Dr, Mechanicsburg, PA 17055 Phone: 717-730-7099 Fax: 717-741-9867 |