Wellspan Family Medicine-baltimore St is a
Family Medicine based in Hanover, Pennsylvania. Wellspan Family Medicine-baltimore St is licensed to practice in * (Not Available) (license number ) and their current practice location is
1227 Baltimore St, Hanover, Pennsylvania. It can be reached at their office (for appointments etc.) via phone at
(717) 812-5190.
NPI number for Wellspan Family Medicine-baltimore St is 1184962821 and their current mailing address is 1803 Mount Rose Ave Ste B3, York, Pennsylvania. Wellspan Family Medicine-baltimore St
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1184962821.
Healthcare Provider's Profile
| Full Name | Wellspan Family Medicine-baltimore St |
|---|
| Type | Facility |
|---|
| Speciality | Family Medicine |
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| Location | 1227 Baltimore St, Hanover, Pennsylvania |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1184962821
- Provider Enumeration Date: 01/30/2013
- Last Update Date: 05/19/2020
Medical Identifiers
Medical identifiers for Wellspan Family Medicine-baltimore St such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184962821 | NPI | - | NPPES |
| 50115587 | Other | PA | CAPITAL BLUE CROSS - WMG |
| 9172984 | Other | PA | AETNA |
| 30142128 | Other | PA | AMERIHEALTH MERCY - WMG |
| 1545712 | Other | PA | GATEWAY HEALTH PLAN |
| 2800588 | Other | PA | HIGHMARK BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Wellspan Family Medicine-baltimore St is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Wellspan Family Medicine-baltimore St
1803 Mount Rose Ave Ste B3,
York, PA 17403-3051
Ph: (717) 851-1405 | Wellspan Family Medicine-baltimore St
1227 Baltimore St,
Hanover, PA 17331-4406
Ph: (717) 812-5190 |
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