Dr Elaine J Douglas, MD | |
1170 S State St, Ephrata, PA 17522-2601 | |
(717) 859-8000 | |
Not Available |
Full Name | Dr Elaine J Douglas |
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Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1170 S State St, Ephrata, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558347369 | NPI | - | NPPES |
0017340010003 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | MD060401L (Pennsylvania) | Primary |
Entity Name | Greater Philadelphia Health Action Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205140902 PECOS PAC ID: 9537064977 Enrollment ID: O20110602000389 |
Mailing Address | Practice Location Address |
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Dr Elaine J Douglas, MD 2 Nook Aly, Mechanicsburg, PA 17050-4116 Ph: (717) 858-1822 | Dr Elaine J Douglas, MD 1170 S State St, Ephrata, PA 17522-2601 Ph: (717) 859-8000 |
Dr. Shirani David Rajan, MD MSPH Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 207 W Fulton St, Ephrata, PA 17522 Phone: 717-721-8789 Fax: 717-715-1360 | |
John Shand, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments 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: Medicare Enrolled 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 | |
Dr. Albert Fombu, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-733-0311 Fax: 717-738-6735 |