| Lorraine Maria Wharton-mohammed, MD | |
|
252 S 4th St, Lebanon, PA 17042-6111 | |
| (717) 821-8017 | |
| (717) 270-2401 |
| Full Name | Lorraine Maria Wharton-mohammed |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 252 S 4th St, Lebanon, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437103637 | NPI | - | NPPES |
| 02663830 | Medicaid | NY | |
| 102377120 | Medicaid | PA | |
| MD417285 | Other | PA | STATE LICENSE - MD |
| 11509273 | Other | CAQH ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD417285 (Pennsylvania) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 002288 (New York) | Secondary |
| Entity Name | Mccd Fl Psychiatry Services Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659003457 PECOS PAC ID: 4880064070 Enrollment ID: O20230123002638 |
| Mailing Address | Practice Location Address |
|---|---|
| Lorraine Maria Wharton-mohammed, MD 601 Memory Ln, York, PA 17402-2231 Ph: (717) 851-1405 | Lorraine Maria Wharton-mohammed, MD 252 S 4th St, Lebanon, PA 17042-6111 Ph: (717) 821-8017 |
Dr. Umar Khayyam, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 283 South Butler Road, Philhaven Eau, Lebanon, PA 17042 Phone: 717-273-8871 | |
Dr. Beth Grier Townsend, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 220 E Lehman St, Lebanon, PA 17046 Phone: 717-274-3415 | |
Dr. Christopher Wayne Vaughn, DO Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1700 S Lincoln Ave, Lebanon, PA 17042 Phone: 717-272-6621 Fax: 717-228-6169 | |
Philip D Rodenberger, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 283 S Butler Rd, Lebanon, PA 17042 Phone: 717-273-8871 Fax: 717-270-2429 | |
Erica Smith, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 15 S 9th St, Lebanon, PA 17042 Phone: 717-273-5992 | |
Thomas L Fenstermacher, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 283 S Butler Rd, Lebanon, PA 17042 Phone: 717-273-8871 Fax: 717-270-2452 | |
Saiqa Mushtaq, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 283 S Butler Rd, Lebanon, PA 17042 Phone: 717-270-2422 |