| Penn Medicine Lghp Neuropychology | |
|
2100 Harrisburg Pike Lancaster PA 17601-2644 | |
| (717) 544-3172 | |
| (717) 544-3229 |
| Full Name | Penn Medicine Lghp Neuropychology |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 2100 Harrisburg Pike, Lancaster, Pennsylvania |
| Authorized Official Name and Position | Denise Kennedy (VICE PRESIDENT FINANCIAL SERVICES) |
| Authorized Official Contact | 7175445010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Penn Medicine Lghp Neuropychology 2100 Harrisburg Pike Lancaster PA 17601-2644 Ph: (717) 544-3172 | Penn Medicine Lghp Neuropychology 2100 Harrisburg Pike Lancaster PA 17601-2644 Ph: (717) 544-3172 |
| NPI Number | 1114012002 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 11/27/2023 |
| Certification Date | 10/29/2020 |
| Medicare PECOS PAC ID | 1254240039 |
|---|---|
| Medicare Enrollment ID | O20040426000245 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114012002 | NPI | - | NPPES |
| 10771175 0084 | Medicaid | PA | |
| 2288603000 | Other | PA | AMERIHEALTH 65 |
| 5055756 | Other | PA | CAPITAL BLUE CROSS |
| 001365403 | Other | PA | HIGHMARK BLUE SHIELD |
| Provider Name | Jon E Bentz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134193758 PECOS PAC ID: 7517949720 Enrollment ID: I20040602000875 |
| Provider Name | Edward J Purzycki |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144293994 PECOS PAC ID: 2365428380 Enrollment ID: I20040629000510 |
| Provider Name | Dennis Richard Given |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730226838 PECOS PAC ID: 0648362350 Enrollment ID: I20070827000447 |
| Provider Name | Jessica L Temple |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669859807 PECOS PAC ID: 9638483548 Enrollment ID: I20150806010145 |
| Provider Name | David Paul Marino |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801391644 PECOS PAC ID: 2163786252 Enrollment ID: I20181231000089 |
| Provider Name | Gerald Scott Biedenkapp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245632553 PECOS PAC ID: 5890032643 Enrollment ID: I20190131003203 |
| Provider Name | Jake Slater King |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669881454 PECOS PAC ID: 7618208125 Enrollment ID: I20191015002336 |
| Provider Name | Jesse Matthew Main |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982238887 PECOS PAC ID: 2163851973 Enrollment ID: I20200330003539 |
| Provider Name | Eran Shlomo Auday |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699266189 PECOS PAC ID: 1254754583 Enrollment ID: I20200706001288 |
| Provider Name | Llashe-kaye Everett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013673615 PECOS PAC ID: 5092106286 Enrollment ID: I20211223000098 |
| Provider Name | Rebecca Renshaw |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538820998 PECOS PAC ID: 2769876952 Enrollment ID: I20240115001095 |
| Provider Name | Marsha L Charles |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093017147 PECOS PAC ID: 5991145674 Enrollment ID: I20240429000777 |
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