| Wellspan Medical Group | |
|
1575 Bannister St Suite 1 York PA 17404-4946 | |
| (717) 812-2000 | |
| (717) 812-2010 |
| Full Name | Wellspan Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 1575 Bannister St, York, 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) 851-1405 | Wellspan Medical Group 1575 Bannister St Suite 1 York PA 17404-4946 Ph: (717) 812-2000 |
| NPI Number | 1811065626 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 01/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811065626 | NPI | - | NPPES |
| 1007721360094 | Medicaid | PA | |
| 1519300 | Other | PA | GATEWAY |
| KX10 | Other | MD | CAREFIRST MD BCBS |
| 03006400 | Other | PA | CAPITAL BLUE CROSS |
| 107496 | Other | PA | HIGHMARK BLUE SHIELD |
| 4474210 | Other | PA | AETNA |
| 800174 | Other | PA | JOHN HOPKINS |
| 82186 | Other | PA | UNISON |
| CA3246 | Other | PA | RAILROAD MEDICARE |
| S1E6 | Other | PA | GEISINGER |
| 0068841001 | Other | PA | AMERIHEALTH 65 PA |
| 1142406 | Other | PA | AMERIHEALTH MERCY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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 | |
Wellspan Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 Monument Rd, Suite 140-145, York, PA 17403 Phone: 717-741-8003 Fax: 717-741-8016 | |
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 | |
Post-acute Medicine And Rehab Specialists 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 |