| Wellspan Family Medicine - Valley Green | |
|
1790 Old Trail Rd Etters PA 17319-9600 | |
| (717) 938-6588 | |
| (717) 938-9601 |
| Full Name | Wellspan Family Medicine - Valley Green |
|---|---|
| Speciality | Family Medicine |
| Location | 1790 Old Trail Rd, Etters, Pennsylvania |
| Authorized Official Name and Position | Christina Vest (CREDENTIALING SUPERVISOR) |
| Authorized Official Contact | 7178511405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspan Family Medicine - Valley Green 1803 Mount Rose Ave Suite B3 York PA 17403-3051 Ph: (717) 851-1405 | Wellspan Family Medicine - Valley Green 1790 Old Trail Rd Etters PA 17319-9600 Ph: (717) 938-6588 |
| NPI Number | 1760550883 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 01/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760550883 | NPI | - | NPPES |
| 1519864 | Other | PA | GATEWAY |
| 2018600001 | Other | PA | AMERIHEALTH 65 PA |
| 1325425 | Other | PA | HIGHMARK BLUE SHIELD |
| 7293846 | Other | PA | AETNA |
| 800174 | Other | PA | JOHN HOPKINS |
| 1007721360133 | Medicaid | PA | |
| S1E3 | Other | PA | GEISINGER |
| CA3246 | Other | PA | RAILROAD MEDICARE |
| 02318100 | Other | PA | CAPITAL BLUE CROSS |
| 20010015 | Other | PA | AMERIHEALTH MERCY |
| KX10 | Other | MD | CAREFIRST MD BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
Notes Of Healing Music Therapy, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 80 Byron Nelson Cir, Etters, PA 17319 Phone: 717-756-8356 |