Donald Gary Kolva, MD | |
958 Isabel Dr, Lebanon, PA 17042-7482 | |
(717) 639-2978 | |
(717) 412-1005 |
Full Name | Donald Gary Kolva |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Neurology |
Location | 958 Isabel Dr, Lebanon, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396847968 | NPI | - | NPPES |
592094 | Other | PA | BLUE SHIELD |
MD041574E | Other | PA | LICENSE |
1196001 | Medicaid | PA | |
02326700 | Other | PA | CAPITAL BLUE CROSS/KEYSTO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | MD041574E (Pennsylvania) | Primary |
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 |
---|---|
Donald Gary Kolva, MD 3421 Concord Rd, York, PA 17402-9001 Ph: (717) 639-2978 | Donald Gary Kolva, MD 958 Isabel Dr, Lebanon, PA 17042-7482 Ph: (717) 639-2978 |
Dr. Umar Khayyam, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 283 South Butler Road, Philhaven Eau, Lebanon, PA 17042 Phone: 717-273-8871 | |
Dr. Beth Grier Townsend, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 220 E Lehman St, Lebanon, PA 17046 Phone: 717-274-3415 | |
Philip D Rodenberger, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 283 S Butler Rd, Lebanon, PA 17042 Phone: 717-273-8871 Fax: 717-270-2429 | |
Erica Smith, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 15 S 9th St, Lebanon, PA 17042 Phone: 717-273-5992 | |
Thomas L Fenstermacher, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 283 S Butler Rd, Lebanon, PA 17042 Phone: 717-273-8871 Fax: 717-270-2452 | |
Dr. Rosemary M Keffer, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 20 S 8th St, Lebanon, PA 17042 Phone: 717-376-1020 | |
Dr. Jason Emejuru, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 283 S Butler Rd, Lebanon, PA 17042 Phone: 717-273-8871 Fax: 717-270-2429 |