| Family Medicine Associates Of York, Llc | |
|
54 S Forrest St York PA 17404-5550 | |
| (717) 792-1811 | |
| (717) 792-3669 |
| Full Name | Family Medicine Associates Of York, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 54 S Forrest St, York, Pennsylvania |
| Authorized Official Name and Position | Douglas Wesley Brenneman (PHYSICIAN) |
| Authorized Official Contact | 7177921811 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Associates Of York, Llc 54 S Forrest St York PA 17404-5550 Ph: (717) 792-1811 | Family Medicine Associates Of York, Llc 54 S Forrest St York PA 17404-5550 Ph: (717) 792-1811 |
| NPI Number | 1386735744 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 04/19/2012 |
| Medicare PECOS PAC ID | 3577532423 |
|---|---|
| Medicare Enrollment ID | O20040928000973 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386735744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS-012261 (Pennsylvania) | Secondary |
| 207Q00000X | Family Medicine | OS-012651 (Pennsylvania) | Primary |
| Provider Name | Douglas Wesley Brenneman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669468831 PECOS PAC ID: 9830189505 Enrollment ID: I20040514000511 |
| Provider Name | Eric A Barr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548258098 PECOS PAC ID: 9133158264 Enrollment ID: I20050809001032 |
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