| Edward Dunham Develin, MD | |
|
1790 Old Trail Rd, Etters, PA 17319-9652 | |
| (717) 938-6588 | |
| (717) 938-9601 |
| Full Name | Edward Dunham Develin |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 38 Years |
| Location | 1790 Old Trail Rd, 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 |
|---|---|---|---|
| 1881699916 | NPI | - | NPPES |
| 681879 | Other | PA | HIGHMARK BLUE SHIELD |
| 210495 | Other | PA | JOHNS HOPKINS |
| 50079481 | Other | PA | CAPITAL BLUE CROSS-WMG-WRC |
| 50083183 | Other | PA | CAPITAL BLUE CROSS-WMG WFM |
| 55112 | Other | PA | GEISINGER |
| 900422 | Other | MD | CAREFIRST MD BCBS |
| P000255 | Other | PA | GATEWAY-WMG |
| 001255176 | Medicaid | MD | |
| 4406171 | Other | PA | AETNA |
| 50069138 | Other | PA | CAPITAL BLUE CROSS-WMG |
| 245599 | Other | PA | UNISON-WMG-WRC |
| 20062835 | Other | PA | AMERIHEALTH MERCY-WMG |
| 212630 | Other | PA | UNISON-WMG |
| 2168529 | Other | PA | MAMSI-WMG |
| 261034 | Other | PA | UNISON-WMG WFM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD045320E (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| York Hospital | York, PA | Hospital |
| Pinnacle Health Hospitals | Harrisburg, PA | Hospital |
| Holy Spirit Hospital | Camp hill, PA | Hospital |
| Good Samaritan Hospital | Lebanon, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fc Select Llc | 0648445163 | 300 |
| 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 |
|---|---|
| Edward Dunham Develin, MD 601 Memory Ln, York, PA 17402-2231 Ph: (717) 851-1405 | Edward Dunham Develin, MD 1790 Old Trail Rd, Etters, PA 17319-9652 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 |