| Greencastle Family Practice Pc | |
|
50 Eastern Ave Ste 135 Greencastle PA 17225-1100 | |
| (717) 597-3151 | |
| (717) 597-8933 |
| Full Name | Greencastle Family Practice Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 50 Eastern Ave, Greencastle, Pennsylvania |
| Authorized Official Name and Position | Jenniffer Lee Showalter (EXECUTIVE ASSISTANT) |
| Authorized Official Contact | 2234652025 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greencastle Family Practice Pc 50 Eastern Ave Ste 135 Greencastle PA 17225-1100 Ph: (717) 597-3151 | Greencastle Family Practice Pc 50 Eastern Ave Ste 135 Greencastle PA 17225-1100 Ph: (717) 597-3151 |
| NPI Number | 1629009295 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 03/29/2023 |
| Certification Date | 03/29/2023 |
| Medicare PECOS PAC ID | 2769420504 |
|---|---|
| Medicare Enrollment ID | O20050421000632 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629009295 | NPI | - | NPPES |
| 10744525 | Medicaid | PA |
| Provider Name | Nathan Todd Derstine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265411821 PECOS PAC ID: 0749225399 Enrollment ID: I20050623000548 |
| Provider Name | Michael S Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043233695 PECOS PAC ID: 7810917978 Enrollment ID: I20081202000205 |
| Provider Name | Duane Eugene Sipes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346229945 PECOS PAC ID: 7719922541 Enrollment ID: I20100922000058 |
| Provider Name | Nancy Lynn Morton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699795278 PECOS PAC ID: 9739358755 Enrollment ID: I20110809000431 |
| Provider Name | Mindy L. Barnhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770971251 PECOS PAC ID: 0042536898 Enrollment ID: I20161025002260 |
| Provider Name | Barbara Irene Larew Adams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134324718 PECOS PAC ID: 9638400294 Enrollment ID: I20191011001562 |
| Provider Name | Kent E Copeland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720248214 PECOS PAC ID: 2264327584 Enrollment ID: I20210726000521 |
| Provider Name | Paul D Bitner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023034527 PECOS PAC ID: 0244676054 Enrollment ID: I20240314001403 |
| Provider Name | Diane Renee Swan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386875169 PECOS PAC ID: 4385081850 Enrollment ID: I20240319003653 |
| Provider Name | Melissa Grove |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376877050 PECOS PAC ID: 9638516115 Enrollment ID: I20240319003743 |
| Provider Name | Amy Lynne Whorley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326329160 PECOS PAC ID: 9830536101 Enrollment ID: I20240321003435 |
| Provider Name | Cheryl A Sears |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811367279 PECOS PAC ID: 0941648059 Enrollment ID: I20240409003231 |
Greencastle Family Practice, Counseling And Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Eastern Ave, Suite 115, Greencastle, PA 17225 Phone: 717-597-0095 Fax: 717-597-3147 |