Dr Matthew E Midcap, MD | |
1020 Bluestone Dr, Lititz, PA 17543-7632 | |
(717) 569-9636 | |
Not Available |
Full Name | Dr Matthew E Midcap |
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Gender | Male |
Speciality | Anesthesiology - Pain Medicine |
Location | 1020 Bluestone Dr, Lititz, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972602043 | NPI | - | NPPES |
001193153 | Medicaid | PA | |
18235 | Other | ABA CERTIFICATE NO. | |
14731 | Other | WV | LICENSE NO. |
18436 | Other | SC | LICENSE NO. |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | MD045904L (Pennsylvania) | Secondary |
207LP2900X | Anesthesiology - Pain Medicine | MD045904L (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 |
Entity Name | Anesthesia And Pain Of Assoc Of No Lancaster Cty |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134228869 PECOS PAC ID: 1153307061 Enrollment ID: O20040629001225 |
Mailing Address | Practice Location Address |
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Dr Matthew E Midcap, MD 1020 Bluestone Dr, Lititz, PA 17543-7632 Ph: () - | Dr Matthew E Midcap, MD 1020 Bluestone Dr, Lititz, PA 17543-7632 Ph: (717) 569-9636 |
Tyrone D Girdharry, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1500 Highlands Dr, Lititz, PA 17543 Phone: 717-782-3282 Fax: 717-231-8964 | |
Chelsea Cambria, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1500 Highlands Dr, Lititz, PA 17543 Phone: 717-625-5000 | |
Valerie A. Hoffman, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1500 Highlands Dr, Lititz, PA 17543 Phone: 717-625-5000 | |
Charles Adam Whitener, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1500 Highlands Dr, Lititz, PA 17543 Phone: 717-625-5000 | |
Lauren Hammell, Anesthesiology Medicare: Medicare Enrolled Practice Location: 1500 Highlands Dr, Lititz, PA 17543 Phone: 717-625-5668 | |
Abigail Walters, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1500 Highlands Dr, Lititz, PA 17543 Phone: 717-625-5000 | |
William P West, D.O. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1575 Highlands Dr, Suite 204, Lititz, PA 17543 Phone: 717-627-2804 Fax: 717-627-2940 |