Ivan Courtney Shorter, DO | |
169 Martin Ave, Ephrata, PA 17522-1734 | |
(717) 733-0311 | |
(717) 721-5861 |
Full Name | Ivan Courtney Shorter |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 21 Years |
Location | 169 Martin Ave, Ephrata, 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 |
---|---|---|---|
1154338689 | NPI | - | NPPES |
102334947 | Medicaid | PA | |
2119476 | Other | PA | HIGHMARK BLUE SHIELD |
1584982 | Other | PA | GATEWAY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS013175 (Pennsylvania) | Secondary |
207L00000X | Anesthesiology | OS013175 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellspan Ephrata Community Hospital | Ephrata, PA | Hospital |
Good Samaritan Hospital | Lebanon, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wellspan Medical Group | 1951213115 | 1966 |
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 | Orthopedic Assoc Of Lancaster Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609835933 PECOS PAC ID: 8527041987 Enrollment ID: O20040608001128 |
Entity Name | Community Anesthesia Associates, Ltd. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245351147 PECOS PAC ID: 0446236160 Enrollment ID: O20040624001407 |
Entity Name | Apollo Medical Group Of Lancaster Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285283549 PECOS PAC ID: 5496187502 Enrollment ID: O20191112000039 |
Mailing Address | Practice Location Address |
---|---|
Ivan Courtney Shorter, DO 3421 Concord Rd, York, PA 17402-9001 Ph: (717) 733-0311 | Ivan Courtney Shorter, DO 169 Martin Ave, Ephrata, PA 17522-1734 Ph: (717) 733-0311 |
Robert A Garvin, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-859-4533 Fax: 717-859-4475 | |
Brian R Melamed, PH.D., M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-859-4533 Fax: 717-859-4475 | |
Alan Berkowitz, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-859-4533 | |
Chang Su Lee, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 169 Martin Avenue, Ephrata, PA 17522 Phone: 717-859-4533 Fax: 717-859-4475 | |
Dr. Ikenna K. Obioma, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-733-0311 Fax: 717-721-5861 | |
Dr. Jeffrey B Musser, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-733-0311 | |
Sarah May Manmiller, Anesthesiology Medicare: Medicare Enrolled Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-733-0311 Fax: 717-721-5861 |