| Wellspan Medical Group | |
|
235 Rosedale Dr Manchester PA 17345-1022 | |
| (717) 812-5229 | |
| (717) 266-7453 |
| Full Name | Wellspan Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 235 Rosedale Dr, Manchester, Pennsylvania |
| Authorized Official Name and Position | Tina Vest (CREDENTIALING SUPERVISOR) |
| Authorized Official Contact | 7178516928 |
| 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 235 Rosedale Dr Manchester PA 17345-1022 Ph: (717) 812-5229 |
| NPI Number | 1437227055 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 09/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437227055 | NPI | - | NPPES |
| 1007721360087 | Medicaid | PA | |
| 03058800 | Other | PA | CAPITAL BLUE CROSS |
| 1519817 | Other | PA | GATEWAY |
| 0083498001 | Other | PA | AMERIHEALTH 65 PA |
| 142576 | Other | PA | HIGHMARK BLUE SHIELD |
| 800174 | Other | PA | JOHN HOPKINS |
| 82198 | Other | PA | UNISON |
| 1142444 | Other | PA | AMERIHEALTH MERCY |
| 5525074 | Other | PA | AETNA |
| CA3246 | Other | PA | RAILROAD MEDICARE |
| KX10 | Other | MD | CAREFIRST MD BCBS |
| S1E4 | Other | PA | GEISINGER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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