| Eli Robert Henninger, PA-C | |
|
1 Hospital Dr, Lewisburg, PA 17837-9350 | |
| (570) 502-4133 | |
| Not Available |
| Full Name | Eli Robert Henninger |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 1 Hospital Dr, Lewisburg, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447097282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | MA065670 (Pennsylvania) | Primary |
| 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 | Evangelical Medical Services Organization |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205928967 PECOS PAC ID: 9133033087 Enrollment ID: O20040310000212 |
| Mailing Address | Practice Location Address |
|---|---|
| Eli Robert Henninger, PA-C 601 Memory Ln, York, PA 17402-2231 Ph: (717) 851-1405 | Eli Robert Henninger, PA-C 1 Hospital Dr, Lewisburg, PA 17837-9350 Ph: (570) 502-4133 |
Mr. Ronald Andrew Laino, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Lewisburg, PA 17837 Phone: 570-522-2640 |
Katherine A Kudrick, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7095 Westbranch Hwy Ste 1100, Lewisburg, PA 17837 Phone: 570-524-5050 Fax: 570-524-5250 |
Jennifer A Hoffmaster, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 137 Jpm Road, Lewisburg, PA 17837 Phone: 570-523-3937 Fax: 570-524-5279 |
Scott Flick, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7095 Westbranch Hwy Ste 1000, Lewisburg, PA 17837 Phone: 570-523-3006 |
Alyssa M Miller, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3 Hospital Dr Ste 100, Lewisburg, PA 17837 Phone: 570-524-5056 Fax: 570-524-5061 |
Sarah Burns, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 210 Jpm Rd Ste 300, Lewisburg, PA 17837 Phone: 570-524-4446 Fax: 570-768-4623 |
Mark David Guilzon, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Dr, Lewisburg, PA 17837 Phone: 570-522-2640 Fax: 570-768-3921 |