| Davenshire Medical Center Partnership | |
|
3740 Carlisle Rd Dover PA 17315-4416 | |
| (717) 292-3168 | |
| (717) 292-3479 |
| Full Name | Davenshire Medical Center Partnership |
|---|---|
| Speciality | Family Medicine |
| Location | 3740 Carlisle Rd, Dover, Pennsylvania |
| Authorized Official Name and Position | Robin Terry (OFFICE MANAGER) |
| Authorized Official Contact | 7172923168 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Davenshire Medical Center Partnership 3740 Carlisle Rd Dover PA 17315-4416 Ph: (717) 292-3168 | Davenshire Medical Center Partnership 3740 Carlisle Rd Dover PA 17315-4416 Ph: (717) 292-3168 |
| NPI Number | 1023040490 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 04/18/2008 |
| Medicare PECOS PAC ID | 2062400187 |
|---|---|
| Medicare Enrollment ID | O20040505001237 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023040490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Gary Czulada |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477578573 PECOS PAC ID: 9133117252 Enrollment ID: I20040505001303 |
| Provider Name | Melissa Baylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205851219 PECOS PAC ID: 6204824329 Enrollment ID: I20040506000017 |
| Provider Name | Amy N Potter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144658469 PECOS PAC ID: 6406083310 Enrollment ID: I20131223001019 |
Wellspan Internal Medicine - Dover Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4020 Carlisle Rd, Dover, PA 17315 Phone: 717-851-6400 Fax: 717-851-6410 | |
Smith & Mason Family Practice Associates Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3992 Carlisle Rd, Dover, PA 17315 Phone: 717-292-7494 Fax: 717-292-2398 | |
Davenshire Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3740 Carlisle Rd, Dover, PA 17315 Phone: 717-292-3168 |