| Wellspan Medical Group | |
|
4020 Carlisle Rd Dover PA 17315-3508 | |
| (717) 851-6400 | |
| (717) 851-6410 |
| Full Name | Wellspan Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 4020 Carlisle Rd, Dover, 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 Medical Group 1803 Mount Rose Ave Suite B3 York PA 17403-3051 Ph: (717) 851-6400 | Wellspan Medical Group 4020 Carlisle Rd Dover PA 17315-3508 Ph: (717) 851-6400 |
| NPI Number | 1619044880 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 01/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619044880 | NPI | - | NPPES |
| 0301664001 | Other | PA | AMERIHEALTH 65 PA |
| CA3246 | Other | PA | RAILROAD MEDICARE |
| KX54 | Other | MD | CAREFIRST MD BCBS |
| 1007721360106 | Medicaid | PA | |
| 7368911 | Other | PA | AETNA |
| 86448 | Other | PA | UNISON |
| 02293900 | Other | PA | CAPITAL BLUE CROSS |
| S1EQ | Other | PA | GEISINGER |
| 1519815 | Other | PA | GATEWAY |
| 800174 | Other | PA | JOHN HOPKINS |
| 066330 | Other | PA | HIGHMARK BLUE SHIELD |
| 1142384 | Other | PA | AMERIHEALTH MERCY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Davenshire Medical Center Partnership Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3740 Carlisle Rd, Dover, PA 17315 Phone: 717-292-3168 Fax: 717-292-3479 | |
Smith & Mason Family Practice Associates Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3992 Carlisle Rd, Dover, PA 17315 Phone: 717-292-7494 Fax: 717-292-2398 | |
Davenshire Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3740 Carlisle Rd, Dover, PA 17315 Phone: 717-292-3168 |