Dr Christian Humberto Caicedo, MD | |
111 S Front St, Harrisburg, PA 17101-2010 | |
(717) 988-0000 | |
(717) 782-5716 |
Full Name | Dr Christian Humberto Caicedo |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 111 S Front St, Harrisburg, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053393223 | NPI | - | NPPES |
1008196900003 | Medicaid | PA | |
145886 | Other | PA | UNISON |
100819690 | Medicaid | PA | |
1008196900001 | Medicaid | PA | |
83232 | Other | PA | GEISINGER |
1533717 | Other | PA | GATEWAY |
50034081 | Other | PA | CAPITAL BCBS |
30024882 | Other | PA | KEYSTONE |
001523122 | Other | PA | HIGHMARK BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD422025 (Pennsylvania) | Secondary |
207P00000X | Emergency Medicine | MD422025 (Pennsylvania) | Primary |
Entity Name | Pinnacle Health Emergency Department Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487693404 PECOS PAC ID: 0143124701 Enrollment ID: O20031125000218 |
Entity Name | Pinnacle Health Observation Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316341241 PECOS PAC ID: 9537481528 Enrollment ID: O20141202001034 |
Mailing Address | Practice Location Address |
---|---|
Dr Christian Humberto Caicedo, MD 111 S Front St, Harrisburg, PA 17101-2010 Ph: (717) 988-0000 | Dr Christian Humberto Caicedo, MD 111 S Front St, Harrisburg, PA 17101-2010 Ph: (717) 988-0000 |
Joseph Eli Benaknin, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-782-5908 Fax: 717-782-5716 | |
Dr. Katie J Miller, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-988-0000 Fax: 717-782-5716 | |
Dr. Andrea Marguerite Sterste, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-988-0000 Fax: 717-782-5716 | |
Dr. Gerald Edward Fronko, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-988-0000 Fax: 717-782-5716 | |
Dr. Nina L Elliott, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-988-0000 Fax: 717-782-5716 | |
Dr. Tyler Thomas Hempel, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-988-0000 Fax: 717-782-5716 | |
Dr. Mary M Bonar, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-782-3380 Fax: 717-782-5716 |