Philip D Rodenberger, MD | |
283 S Butler Rd, Lebanon, PA 17042-8939 | |
(717) 273-8871 | |
(717) 270-2429 |
Full Name | Philip D Rodenberger |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 283 S Butler Rd, Lebanon, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124101076 | NPI | - | NPPES |
102871975 | Medicaid | PA | |
12622664 | Other | CAQH ID | |
0207113 | Medicaid | WA | |
MD012872E | Other | PA | STATE LICENSE - MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | MD012872E (Pennsylvania) | Primary |
Entity Name | Wellspan Medical Group |
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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 |
---|---|
Philip D Rodenberger, MD 785 5th Ave Ste 3, Chambersburg, PA 17201-4232 Ph: (717) 263-9555 | Philip D Rodenberger, MD 283 S Butler Rd, Lebanon, PA 17042-8939 Ph: (717) 273-8871 |
Dr. Umar Khayyam, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 283 South Butler Road, Philhaven Eau, Lebanon, PA 17042 Phone: 717-273-8871 | |
Dr. Beth Grier Townsend, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 220 E Lehman St, Lebanon, PA 17046 Phone: 717-274-3415 | |
Erica Smith, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 15 S 9th St, Lebanon, PA 17042 Phone: 717-273-5992 | |
Thomas L Fenstermacher, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 283 S Butler Rd, Lebanon, PA 17042 Phone: 717-273-8871 Fax: 717-270-2452 | |
Dr. Rosemary M Keffer, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 20 S 8th St, Lebanon, PA 17042 Phone: 717-376-1020 | |
Dr. Jason Emejuru, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 283 S Butler Rd, Lebanon, PA 17042 Phone: 717-273-8871 Fax: 717-270-2429 |