| Lancaster General Medical Group | |
|
562 West 2nd Avenue Lititz PA 17543-1816 | |
| (717) 626-2167 | |
| (717) 626-1915 |
| Full Name | Lancaster General Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 562 West 2nd Avenue, Lititz, Pennsylvania |
| Authorized Official Name and Position | Denise Kennedy (VICE PRESIDENT FINANCIAL SERVICES) |
| Authorized Official Contact | 7175445010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lancaster General Medical Group 562 West 2nd Avenue Lititz PA 17543-1816 Ph: (717) 626-2167 | Lancaster General Medical Group 562 West 2nd Avenue Lititz PA 17543-1816 Ph: (717) 626-2167 |
| NPI Number | 1164405593 |
|---|---|
| Provider Enumeration Date | 11/21/2005 |
| Last Update Date | 11/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164405593 | NPI | - | NPPES |
| 1007327490074 | Medicaid | PA | |
| 128360 | Other | PA | HIGHMARK BLUE SHIELD |
| 5913568 | Other | PA | AETNA NON-HMO |
| CC3129 | Other | PA | RAILROAD MEDICARE |
| 1294 | Other | PA | AETNA HMO |
| 85047 | Other | PA | AETNA CAP OFFICE# |
| 03093600 | Other | PA | CAPITAL BLUE CROSS |
| S1QG | Other | PA | GEISINGER HEALTH PLAN |
| 1518494 | Other | PA | GATEWAY HEALTH PLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Pennsylvania Institute Of Endocrinology Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1575 Highlands Dr, Suite 206, Lititz, PA 17543 Phone: 717-568-8886 Fax: 717-627-2727 | |
Wellspan Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2320 Rothsville Rd, Suite 200, Lititz, PA 17543 Phone: 717-721-4800 Fax: 717-626-1613 | |
Lancaster General Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1008 Lititz Pike, Lititz, PA 17543 Phone: 717-627-6074 Fax: 717-627-6915 | |
Lancaster Hma Physician Management Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1575 Highlands Dr, Suite 202, Lititz, PA 17543 Phone: 717-625-2311 | |
Wellspan Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 W Airport Rd, Lititz, PA 17543 Phone: 717-466-2445 Fax: 717-466-2447 | |
Lancaster General Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 51 Peters Rd, Lititz, PA 17543 Phone: 717-627-7696 Fax: 717-629-1915 |