Dr Samuel D D'agata, MD | |
207 Blooming Grove Rd, Hanover, PA 17331-7917 | |
(717) 632-5259 | |
(717) 632-2422 |
Full Name | Dr Samuel D D'agata |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 207 Blooming Grove Rd, Hanover, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437158599 | NPI | - | NPPES |
1519968 | Other | PA | GATEWAY |
416732 | Other | PA | HIGHMARK BLUE SHIELD |
418249 | Other | PA | UPMC |
001172799 | Medicaid | PA | |
30112674 | Other | PA | AMERIHEALTH MERCY - WMG |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | MD043979E (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 |
---|---|
Dr Samuel D D'agata, MD 601 Memory Ln, York, PA 17402-2231 Ph: (717) 851-1405 | Dr Samuel D D'agata, MD 207 Blooming Grove Rd, Hanover, PA 17331-7917 Ph: (717) 632-5259 |
Alexander John Kish, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 470 Eisenhower Dr, Hanover, PA 17331 Phone: 717-633-0031 Fax: 717-630-1085 | |
Dr. Francis X Kilkelly, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 207 Blooming Grove Rd, Hanover, PA 17331 Phone: 717-812-7559 Fax: 717-632-2422 | |
Dr. James H Ellison, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 207 Blooming Grove Rd, Hanover, PA 17331 Phone: 717-632-5259 Fax: 717-632-2422 | |
Dr. James Adam Fenwick, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 207 Blooming Grove Rd, Hanover, PA 17331 Phone: 717-812-7559 Fax: 717-632-2422 | |
Eric James Jackson, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 470 Eisenhower Dr, Hanover, PA 17331 Phone: 717-633-0031 Fax: 717-630-1085 | |
Jesse R. Welter, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 470 Eisenhower Dr, Hanover, PA 17331 Phone: 717-633-0031 |