Mindspring Psychiatry And Wellness | |
1190 Mount Aetna Rd Hagerstown MD 21740-6833 | |
(240) 222-5996 | |
(240) 414-8638 |
Full Name | Mindspring Psychiatry And Wellness |
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Speciality | Psychiatry & Neurology |
Location | 1190 Mount Aetna Rd, Hagerstown, Maryland |
Authorized Official Name and Position | Christopher Gabriel Bennett (CEO) |
Authorized Official Contact | 8658044067 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mindspring Psychiatry And Wellness 18348 Spark Dr Unit 201 Hagerstown MD 21740-2086 Ph: (865) 804-4067 | Mindspring Psychiatry And Wellness 1190 Mount Aetna Rd Hagerstown MD 21740-6833 Ph: (240) 222-5996 |
NPI Number | 1972290575 |
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Provider Enumeration Date | 04/24/2023 |
Last Update Date | 04/24/2023 |
Certification Date | 04/23/2023 |
Medicare PECOS PAC ID | 6103270442 |
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Medicare Enrollment ID | O20230920003480 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972290575 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Sarah Wempe |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447621925 PECOS PAC ID: 4183980147 Enrollment ID: I20171107001882 |
Provider Name | Christopher G Bennett |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437475134 PECOS PAC ID: 0345370912 Enrollment ID: I20180102000137 |
Provider Name | Allyson Murphy |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1760050983 PECOS PAC ID: 3375938194 Enrollment ID: I20220315000020 |
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