| Philip D Rodenberger, MD | |
|
283 S Butler Rd, Lebanon, PA 17042-8939 | |
| (717) 273-8871 | |
| (717) 270-2429 |
| Full Name | Philip D Rodenberger |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 283 S Butler Rd, 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 |
|---|---|---|---|
| 1124101076 | NPI | - | NPPES |
| 102871975 | Medicaid | PA | |
| 12622664 | Other | CAQH ID | |
| 0207113 | Medicaid | WA | |
| MD012872E | Other | PA | STATE LICENSE - MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD012872E (Pennsylvania) | Primary |
| Entity Name | Behavioral Healthcare Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992919476 PECOS PAC ID: 1456448851 Enrollment ID: O20071101000360 |
| Mailing Address | Practice Location Address |
|---|---|
| Philip D Rodenberger, MD 785 5th Ave Ste 3, Chambersburg, PA 17201-4232 Ph: (717) 263-9555 | Philip D Rodenberger, MD 283 S Butler Rd, Lebanon, PA 17042-8939 Ph: (717) 273-8871 |
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 | |
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: Medicare Enrolled Practice Location: 283 S Butler Rd, Lebanon, PA 17042 Phone: 717-270-2422 |