| Samir Ahmed Qasim, MD | |
|
252 S 4th St, Lebanon, PA 17042-6111 | |
| (717) 821-8017 | |
| Not Available |
| Full Name | Samir Ahmed Qasim |
|---|---|
| Gender | Male |
| 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 |
|---|---|---|---|
| 1457694895 | NPI | - | NPPES |
| 103355923 | Medicaid | PA | |
| 14080536 | Other | PA | CAQH ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD460373 (Pennsylvania) | Primary |
| Entity Name | Philhaven |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043316441 PECOS PAC ID: 8729991419 Enrollment ID: O20031110000103 |
| 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 |
|---|---|
| Samir Ahmed Qasim, MD 601 Memory Ln, York, PA 17402-2231 Ph: (717) 851-1405 | Samir Ahmed Qasim, 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 |