Dr Surender Reddy Edla, MD | |
1790 Old Trail Rd, Etters, PA 17319-9652 | |
(717) 938-6588 | |
(717) 938-9601 |
Full Name | Dr Surender Reddy Edla |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 25 Years |
Location | 1790 Old Trail Rd, Etters, Pennsylvania |
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 |
---|---|---|---|
1245263524 | NPI | - | NPPES |
101677202 0001 | Medicaid | PA | |
7977899 | Other | PA | AETNA |
102470 | Other | PA | GEISINGER |
889580 | Other | MD | CAREFIRST MD BCBS |
187920 | Other | PA | UNISON-WMG |
1879312 | Other | PA | HIGHMARK BLUE SHIELD |
2157513 | Other | PA | MAMSI-WMG |
50061854 | Other | PA | CAPITAL BLUE CROSS-WMG |
50083184 | Other | PA | CAPITAL BLUE CROSS-WMG WFM |
P006944 | Other | PA | GATEWAY-WMG |
20055006 | Other | PA | AMERIHEALTH MERCY-WMG |
205115 | Other | PA | JOHNS HOPKINS |
261035 | Other | PA | UNISON-WMG WFM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0101239065 (Virginia) | Primary |
207Q00000X | Family Medicine | MD429426 (Pennsylvania) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Williamsport Regional Medical Center | Williamsport, PA | Hospital |
Inova Alexandria Hospital | Alexandria, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Susquehanna Physician Services | 2264336460 | 483 |
Hospitalist Medicine Physicians Of Virginia Llc | 5698842235 | 118 |
Clifton Care Llc | 6608918057 | 6 |
Entity Name | Upmc Altoona |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497831655 PECOS PAC ID: 8426962465 Enrollment ID: O20040406001094 |
Entity Name | Susquehanna Physician Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992743868 PECOS PAC ID: 2264336460 Enrollment ID: O20040412001371 |
Mailing Address | Practice Location Address |
---|---|
Dr Surender Reddy Edla, MD 6020 Richmond Hwy, Ste 102, Alexandria, VA 22303-2157 Ph: (443) 363-3953 | Dr Surender Reddy Edla, MD 1790 Old Trail Rd, Etters, PA 17319-9652 Ph: (717) 938-6588 |
Dr. Kristina Marie Newcomer, D.O Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 496 Shelleys Ln, Etters, PA 17319 Phone: 717-938-6040 | |
Archana Patel, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1790 Old Trail Rd, Etters, PA 17319 Phone: 717-938-6588 Fax: 717-938-9601 | |
Dr. Vance Rudy Stouffer Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 786 Cartref Rd, Etters, PA 17319 Phone: 717-938-6122 | |
Edward Dunham Develin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1790 Old Trail Rd, Etters, PA 17319 Phone: 717-938-6588 Fax: 717-938-9601 | |
Dr. Shane Christopher Lohss, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1790 Old Trail Rd, Etters, PA 17319 Phone: 717-938-6588 Fax: 717-938-9601 |