| Alder Health Services, Inc. | |
|
100 N Cameron St Suite 301-east Harrisburg PA 17101-2424 | |
| (717) 233-7190 | |
| (717) 233-7196 |
| Full Name | Alder Health Services, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 100 N Cameron St, Harrisburg, Pennsylvania |
| Authorized Official Name and Position | Rosemary Browne (PRESIDENT/CEO) |
| Authorized Official Contact | 7172337190 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alder Health Services, Inc. 100 N Cameron St Ste 201-east Harrisburg PA 17101-2424 Ph: (717) 233-7190 | Alder Health Services, Inc. 100 N Cameron St Suite 301-east Harrisburg PA 17101-2424 Ph: (717) 233-7190 |
| NPI Number | 1083911218 |
|---|---|
| Provider Enumeration Date | 02/24/2011 |
| Last Update Date | 02/06/2023 |
| Certification Date | 02/06/2023 |
| Medicare PECOS PAC ID | 2163692641 |
|---|---|
| Medicare Enrollment ID | O20110822000015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083911218 | NPI | - | NPPES |
| 1210120005 | Medicaid | PA |
| Provider Name | Lorraine Wentz Bock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730164450 PECOS PAC ID: 3678543188 Enrollment ID: I20040730000237 |
| Provider Name | Nuchanart Venbrux |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467488213 PECOS PAC ID: 1557330792 Enrollment ID: I20040925000005 |
| Provider Name | Susan Thornsley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841222650 PECOS PAC ID: 9133172794 Enrollment ID: I20050224000058 |
| Provider Name | Beth A Lawhead |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811121346 PECOS PAC ID: 9032259882 Enrollment ID: I20091229000605 |
| Provider Name | Jarrett Sell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003888355 PECOS PAC ID: 0446325708 Enrollment ID: I20111013000193 |
| Provider Name | Cassandra E Haddad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073801619 PECOS PAC ID: 2365609765 Enrollment ID: I20120213000280 |
| Provider Name | Tanya D Wozniak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023150612 PECOS PAC ID: 6204991664 Enrollment ID: I20140311000294 |
| Provider Name | Ronna A Whitaker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104962521 PECOS PAC ID: 6709106917 Enrollment ID: I20150528002190 |
| Provider Name | Joshua P Fleetman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699162586 PECOS PAC ID: 3173870524 Enrollment ID: I20180717002825 |
| Provider Name | Ellie A Hillard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396397253 PECOS PAC ID: 8820328446 Enrollment ID: I20190925001020 |
| Provider Name | Carmen Mckinney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790253045 PECOS PAC ID: 1456789643 Enrollment ID: I20200323001203 |
| Provider Name | Rebecca Cox Davenport |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760050629 PECOS PAC ID: 7315340650 Enrollment ID: I20210726000396 |
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