| Md At Home, Inc | |
|
2550 Kingston Rd Suite 205 York PA 17402-3735 | |
| (717) 840-4646 | |
| (717) 840-8686 |
| Full Name | Md At Home, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2550 Kingston Rd, York, Pennsylvania |
| Authorized Official Name and Position | Marvin Wilbern Inscore (OWNER) |
| Authorized Official Contact | 7178404646 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Md At Home, Inc 2550 Kingston Rd Suite 205 York PA 17402-3735 Ph: (717) 840-4646 | Md At Home, Inc 2550 Kingston Rd Suite 205 York PA 17402-3735 Ph: (717) 840-4646 |
| NPI Number | 1578518015 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 03/03/2008 |
| Medicare PECOS PAC ID | 2769454297 |
|---|---|
| Medicare Enrollment ID | O20040806000333 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578518015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| Provider Name | Earl W Edwards |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1134176142 PECOS PAC ID: 8426015546 Enrollment ID: I20060726000221 |
| Provider Name | Brett Eric Wills |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568592715 PECOS PAC ID: 0941390082 Enrollment ID: I20071213000296 |
| Provider Name | Nicholas A Pappas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053316307 PECOS PAC ID: 4385786524 Enrollment ID: I20110318000198 |
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