Dr Andrew Medendorp, MD | |
1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | |
(808) 433-2595 | |
Not Available |
Full Name | Dr Andrew Medendorp |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 19 Years |
Location | 1 Jarrett White Rd, Tripler Army Medical Center, Hawaii |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841346871 | NPI | - | NPPES |
1023483 | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 23990 (Nebraska) | Secondary |
208800000X | Urology | 042.0012951 (Vermont) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
York Hospital | York, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wellspan Medical Group | 1951213115 | 1966 |
Entity Name | Wellspan Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750480299 PECOS PAC ID: 1951213115 Enrollment ID: O20040220000815 |
Entity Name | Penn State Health Community Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861988644 PECOS PAC ID: 8729351077 Enrollment ID: O20170907002279 |
Mailing Address | Practice Location Address |
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Dr Andrew Medendorp, MD 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 Ph: () - | Dr Andrew Medendorp, MD 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 Ph: (808) 433-2595 |
Dr. Timothy William Wright, MD Urology Medicare: Medicare Enrolled Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 888-683-2778 | |
Dr. Lauren Pham Kecskes Muramoto, MD Urology Medicare: Medicare Enrolled Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 808-433-2595 | |
Dr. George Bennett Stackhouse Iv, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 808-433-6661 | |
Dr. Matthew Michael Banti, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 808-433-5109 | |
Alexander Ernest, Urology Medicare: Accepting Medicare Assignments Practice Location: 1 Jarrett White Rd, General Surgery Dept, Tripler Army Medical Center, Tripler Army Medical Center, HI 96859 Phone: 808-433-5312 |