Mr Matthew Thomas Hendell, CRNP | |
212 Rosedale Dr, Manchester, PA 17345-1023 | |
(717) 851-5503 | |
(717) 851-1905 |
Full Name | Mr Matthew Thomas Hendell |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Pediatrics |
Location | 212 Rosedale Dr, Manchester, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538196902 | NPI | - | NPPES |
889996 | Other | MD | CAREFIRST MARYLAND BCBS |
205114 | Other | PA | JOHNS HOPKINS |
1933959 | Other | PA | HIGHMARK BLUE SHIELD |
50062488 | Other | PA | CAPITAL BLUE CROSS-WMG |
1555995 | Other | PA | GATEWAY-WMG |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | SP005277D (Pennsylvania) | Primary |
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 |
Mailing Address | Practice Location Address |
---|---|
Mr Matthew Thomas Hendell, CRNP 3421 Concord Rd, York, PA 17402-9001 Ph: (717) 851-5503 | Mr Matthew Thomas Hendell, CRNP 212 Rosedale Dr, Manchester, PA 17345-1023 Ph: (717) 851-5503 |
Heather R Mitchell, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4314 N. George St Ext'd, Manchester, PA 17345 Phone: 717-266-0252 Fax: 717-266-2199 | |
Cynthia A Martin, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 212 Rosedale Dr, Manchester, PA 17345 Phone: 717-851-5503 Fax: 717-851-1905 | |
Mrs. Beth Elaine Fissel, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4050 N George Street Ext, Manchester, PA 17345 Phone: 717-356-4370 Fax: 717-260-3316 | |
Ms. Imelda Perez, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4050 N George Street Ext, Manchester, PA 17345 Phone: 717-356-4370 Fax: 717-260-3316 |