Gillian Grannum, PHD | |
354 N Reading Rd, Ephrata, PA 17522-1651 | |
(717) 738-1125 | |
(717) 738-0606 |
Full Name | Gillian Grannum |
---|---|
Gender | Female |
Speciality | Clinical Psychologist |
Experience | 7 Years |
Location | 354 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 |
PS018690 | Other | PA | STATE LICENSE - PSYCHOLOGIST |
14373031 | Other | CAQH ID | |
103573403 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PS018690 (Pennsylvania) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Philhaven | 8729991419 | 59 |
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: 1750480299 PECOS PAC ID: 1951213115 Enrollment ID: O20040220000815 |
Mailing Address | Practice Location Address |
---|---|
Gillian Grannum, PHD 785 5th Ave Ste 3, Chambersburg, PA 17201-4232 Ph: (717) 263-9555 | Gillian Grannum, PHD 354 N Reading Rd, Ephrata, PA 17522-1651 Ph: (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: 354 N Reading Rd, Ephrata, PA 17522 Phone: 177-381-1257 Fax: 717-738-0606 | |
Dr. John E Pugh, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 491 Peach Rd, Ephrata, PA 17522 Phone: 717-606-7652 Fax: 717-336-4014 |