| Gillian Grannum, PHD | |
|
344 N Reading Rd, Ephrata, PA 17522-1651 | |
| (717) 738-1125 | |
| (717) 738-0606 |
| Full Name | Gillian Grannum |
|---|---|
| Gender | Female |
| Speciality | Clinical Psychologist |
| Experience | 8 Years |
| Location | 344 N Reading Rd, Ephrata, Pennsylvania |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407292162 | NPI | - | NPPES |
| 103573403 | Medicaid | PA | |
| PS018690 | Other | PA | STATE LICENSE - PSYCHOLOGIST |
| 14373031 | Other | CAQH ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PS018690 (Pennsylvania) | Secondary |
| 103TC0700X | Psychologist - Clinical | PS018690 (Pennsylvania) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Philhaven | 8729991419 | 82 |
| Entity Name | Philhaven |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043316441 PECOS PAC ID: 8729991419 Enrollment ID: O20031110000103 |
| Entity Name | Wellspan Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669770004 PECOS PAC ID: 1951213115 Enrollment ID: O20040220000815 |
| Mailing Address | Practice Location Address |
|---|---|
| Gillian Grannum, PHD 601 Memory Ln, York, PA 17402-2231 Ph: (717) 851-1405 | Gillian Grannum, PHD 344 N Reading Rd, Ephrata, PA 17522-1651 Ph: (717) 738-1125 |
Andrew Bowen, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 344 N Reading Rd, Ephrata, PA 17522 Phone: 717-738-1125 | |
Mrs. Lydia B Hackenberg, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 344 N Reading Rd, Ephrata, PA 17522 Phone: 717-738-1125 | |
Dr. Aimee E Todd, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 446 N Reading Rd, Suite 204, Ephrata, PA 17522 Phone: 717-466-6565 | |
Dr. Scott T Heller, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 607 Glenwood Dr, Ephrata, PA 17522 Phone: 717-271-1167 | |
Dr. Nicholas V Martino Jr., PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 344 N Reading Rd, Ephrata, PA 17522 Phone: 717-738-1125 | |
Dr. John E Pugh, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 491 Peach Rd, Ephrata, PA 17522 Phone: 717-606-7652 Fax: 717-336-4014 |