| Mr Matthew Thomas Hendell, CRNP | |
|
212 Rosedale Dr, Manchester, PA 17345-1023 | |
| (717) 851-5503 | |
| (717) 851-1905 |
| Full Name | Mr Matthew Thomas Hendell |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 212 Rosedale Dr, Manchester, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538196902 | NPI | - | NPPES |
| 889996 | Other | MD | CAREFIRST MARYLAND BCBS |
| 205114 | Other | PA | JOHNS HOPKINS |
| 1933959 | Other | PA | HIGHMARK BLUE SHIELD |
| 50062488 | Other | PA | CAPITAL BLUE CROSS-WMG |
| 1555995 | Other | PA | GATEWAY-WMG |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | SP005277D (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 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Matthew Thomas Hendell, CRNP 3421 Concord Rd, York, PA 17402-9001 Ph: (717) 851-5503 | Mr Matthew Thomas Hendell, CRNP 212 Rosedale Dr, Manchester, PA 17345-1023 Ph: (717) 851-5503 |
Mr. Anthony Dorazio, CRNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 4050 N George Street Ext, Manchester, PA 17345 Phone: 717-356-4370 | |
Nisha Tripathee, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 235 Rosedale Dr, Manchester, PA 17345 Phone: 717-812-5229 | |
Nick Rohan Jaisingh, CRNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4050 N George Street Ext, Manchester, PA 17345 Phone: 717-356-4370 | |
Heather R Mitchell, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4314 N. George St Ext'd, Manchester, PA 17345 Phone: 717-266-0252 Fax: 717-266-2199 | |
Jennifer Lynne Finkenbiner, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4050 N George Street Ext, Manchester, PA 17345 Phone: 717-356-4370 | |
Cynthia A Martin, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 212 Rosedale Dr, Manchester, PA 17345 Phone: 717-851-5503 Fax: 717-851-1905 | |
Mrs. Beth Elaine Fissel, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4050 N George Street Ext, Manchester, PA 17345 Phone: 717-356-4370 Fax: 717-260-3316 |