| Wellspan Medical Group | |
| 296 St. Charles Way York PA 17402-4648 | |
| (717) 851-6567 | |
| (717) 851-6577 | 
| Full Name | Wellspan Medical Group | 
|---|---|
| Speciality | Internal Medicine | 
| Location | 296 St. Charles Way, York, Pennsylvania | 
| Authorized Official Name and Position | Amy F Wilkinson (CREDENTIALING COORDINATOR) | 
| Authorized Official Contact | 7178511405 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Wellspan Medical Group 1803 Mount Rose Ave Suite B3 York PA 17403-3051 Ph: (717) 851-1405 | Wellspan Medical Group 296 St. Charles Way York PA 17402-4648 Ph: (717) 851-6567 | 
| NPI Number | 1801954276 | 
|---|---|
| Provider Enumeration Date | 12/05/2006 | 
| Last Update Date | 08/11/2010 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1801954276 | NPI | - | NPPES | 
| 0021280001 | Other | PA | AMERIHEALTH 65 PA | 
| 02293500 | Other | PA | CAPITAL BLUE CROSS | 
| 1007721360132 | Medicaid | PA | |
| 84533 | Other | PA | UNISON | 
| 1142430 | Other | PA | AMERIHEALTH MERCY | 
| CA3246 | Other | PA | RAILROAD MEDICARE | 
| 369120 | Other | PA | HIGHMARK BLUE SHIELD | 
| 800174 | Other | PA | JOHN HOPKINS | 
| KX54 | Other | MD | CAREFIRST MD BCBS | 
| S1EZ | Other | PA | GEISINGER | 
| 1519314 | Other | PA | GATEWAY | 
| 5894771 | Other | PA | AETNA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary | 
| Wellspan Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 717 Town Center Drive, York, PA 17408 Phone: 717-356-4240 Fax: 717-356-4241 | |
| Wellspan Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 55 Monument Rd, York, PA 17403 Phone: 717-812-4090 | |
| Wellspan Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2350 Freedom Way Ste 202, York, PA 17402 Phone: 717-851-2465 Fax: 717-741-3043 | |
| Covenantmd, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2811 N George St Ste A, York, PA 17406 Phone: 717-210-4880 Fax: 717-444-3751 | |
| Family Internal Medicine Pa Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1850 Normandie Dr, York, PA 17408 Phone: 717-373-2609 | |
| Family First Health Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2003 Springwood Rd, York, PA 17403 Phone: 717-851-2655 | |
| Richard Harootunian Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 S George St, Suite W1, York, PA 17403 Phone: 717-741-3808 Fax: 717-741-0646 |