| Dr Mary A Bartas White, DO | |
|
503 N 21st St, Camp Hill, PA 17011-2204 | |
| (717) 972-7919 | |
| (717) 763-2272 |
| Full Name | Dr Mary A Bartas White |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 503 N 21st St, Camp Hill, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295718930 | NPI | - | NPPES |
| 0014063880005 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | OS007069L (Pennsylvania) | Primary |
| Entity Name | Penn State Health Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861988644 PECOS PAC ID: 8729351077 Enrollment ID: O20170907002279 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mary A Bartas White, DO 500 University Dr Mc Ca410, Hershey, PA 17033-2360 Ph: (717) 531-5208 | Dr Mary A Bartas White, DO 503 N 21st St, Camp Hill, PA 17011-2204 Ph: (717) 972-7919 |
Raghavendra Srinivasa, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 503 N 21st St, Camp Hill, PA 17011 Phone: 717-972-7919 Fax: 717-763-2272 |
Dr. Anthony Louis Montecalvo, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 503 N 21st St, Camp Hill, PA 17011 Phone: 717-763-2219 Fax: 717-972-4844 |
Kimberly Sue Ford, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 503 N 21st St, Camp Hill, PA 17011 Phone: 717-763-2219 |
Dr. Kathryn Ann Klunk, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2500 Lisburn Rd, Camp Hill, PA 17011 Phone: 717-737-4531 |
Dr. Pamela Rollings Mazza, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 503 N 21st St, Camp Hill, PA 17011 Phone: 717-763-2249 |
Tyanne I Graham, CRNP Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 503 N 21st St, Camp Hill, PA 17011 Phone: 717-763-2260 Fax: 717-763-2261 |
Dr. Amanullah Khan, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 503 N 21st St, Camp Hill, PA 17011 Phone: 717-763-2260 |