| Ivan Courtney Shorter, DO | |
|
169 Martin Ave, Ephrata, PA 17522-1734 | |
| (717) 733-0311 | |
| (717) 721-5861 |
| Full Name | Ivan Courtney Shorter |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 22 Years |
| Location | 169 Martin Ave, Ephrata, 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 |
|---|---|---|---|
| 1154338689 | NPI | - | NPPES |
| 2119476 | Other | PA | HIGHMARK BLUE SHIELD |
| 102334947 | Medicaid | PA | |
| 1584982 | Other | PA | GATEWAY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | OS013175 (Pennsylvania) | Primary |
| 207Q00000X | Family Medicine | OS013175 (Pennsylvania) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wellspan Ephrata Community Hospital | Ephrata, PA | Hospital |
| Good Samaritan Hospital | Lebanon, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lancaster Orthopedic Group, Inc. | 1557264678 | 65 |
| Wellspan Medical Group | 1951213115 | 2052 |
| Entity Name | Lancaster Orthopedic Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598740508 PECOS PAC ID: 1557264678 Enrollment ID: O20040128000209 |
| 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 |
| Entity Name | Orthopedic Assoc Of Lancaster Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609835933 PECOS PAC ID: 8527041987 Enrollment ID: O20040608001128 |
| Entity Name | Community Anesthesia Associates, Ltd. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245351147 PECOS PAC ID: 0446236160 Enrollment ID: O20040624001407 |
| Entity Name | Apollo Medical Group Of Lancaster Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285283549 PECOS PAC ID: 5496187502 Enrollment ID: O20191112000039 |
| Mailing Address | Practice Location Address |
|---|---|
| Ivan Courtney Shorter, DO 3421 Concord Rd, York, PA 17402-9001 Ph: (717) 733-0311 | Ivan Courtney Shorter, DO 169 Martin Ave, Ephrata, PA 17522-1734 Ph: (717) 733-0311 |
Eric David Thomas, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-733-0311 | |
Robert A Garvin, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-859-4533 Fax: 717-859-4475 | |
Brian R Melamed, PH.D., M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-859-4533 Fax: 717-859-4475 | |
Jay Paul Mccardell Iv, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-733-0311 | |
Alan Berkowitz, MD Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-859-4533 | |
Chang Su Lee, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 169 Martin Avenue, Ephrata, PA 17522 Phone: 717-859-4533 Fax: 717-859-4475 |