| Lucas Elliott Haldeman, PA | |
|
111 Ironwood Ct, Denver, PA 17517-8619 | |
| (717) 940-9262 | |
| Not Available |
| Full Name | Lucas Elliott Haldeman |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 111 Ironwood Ct, Denver, Pennsylvania |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306500889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | OA005841 (Pennsylvania) | Secondary |
| 363AM0700X | Physician Assistant - Medical | MA063066 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Reading Hospital | West reading, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Reading Hospital | 7618886490 | 179 |
| 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 | Tower Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609291350 PECOS PAC ID: 7618889213 Enrollment ID: O20040311000072 |
| Entity Name | Reading Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992387518 PECOS PAC ID: 7618886490 Enrollment ID: O20040408001076 |
| Entity Name | Tri-county Hospitalists LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730518564 PECOS PAC ID: 4385872290 Enrollment ID: O20140122000447 |
| Entity Name | Ahn Observation Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437814696 PECOS PAC ID: 1557753811 Enrollment ID: O20220118001466 |
| Mailing Address | Practice Location Address |
|---|---|
| Lucas Elliott Haldeman, PA 3421 Concord Rd, York, PA 17402-9001 Ph: (717) 851-1405 | Lucas Elliott Haldeman, PA 111 Ironwood Ct, Denver, PA 17517-8619 Ph: (717) 940-9262 |