| Dr Mohammad M Shabahang, MD | |
|
601 E Main St, Waynesboro, PA 17268-2332 | |
| (717) 217-6800 | |
| (717) 839-2807 |
| Full Name | Dr Mohammad M Shabahang |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 601 E Main St, Waynesboro, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922069772 | NPI | - | NPPES |
| 8G5390 | Other | TX | BLUE SHIELD |
| 1527996-01 | Medicaid | TX | |
| 13822314 | Other | CAQH | |
| 102488460 | Medicaid | PA | |
| 1527996-02 | Other | TX | CSHCN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MD439990 (Pennsylvania) | Primary |
| 208600000X | Surgery | BS3301291 (Pennsylvania) | Secondary |
| 2086X0206X | Surgery - Surgical Oncology | L4705 (Texas) | Secondary |
| 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 Mohammad M Shabahang, MD 601 Memory Ln, York, PA 17402-2231 Ph: (717) 851-1405 | Dr Mohammad M Shabahang, MD 601 E Main St, Waynesboro, PA 17268-2332 Ph: (717) 217-6800 |
Dr. Mark D Roth, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 45 Roadside Ave, Waynesboro, PA 17268 Phone: 717-762-7155 Fax: 717-762-6929 | |
Christopher Scott Andrews, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 601 E Main St, Waynesboro, PA 17268 Phone: 717-765-5060 Fax: 717-762-6929 | |
Collin Lewis Myers, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 601 E Main St, Waynesboro, PA 17268 Phone: 717-217-6800 Fax: 717-217-6900 | |
John Peter Hinterkopf, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 12116 Blue Ridge Ct, Waynesboro, PA 17268 Phone: 717-762-8506 | |
Dr. Robert Kent Finley Iii, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 45 Roadside Ave, Waynesboro, PA 17268 Phone: 717-762-7155 Fax: 717-762-6929 | |
Dr. James E Hurley Ii, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 45 Roadside Ave, Waynesboro, PA 17268 Phone: 717-762-7155 Fax: 717-762-6929 |