Hillside Internal Medicine Pc | |
250 Fame Ave Suite 135 Hanover PA 17331-1587 | |
(717) 632-3235 | |
(717) 632-7292 |
Full Name | Hillside Internal Medicine Pc |
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Speciality | Internal Medicine |
Location | 250 Fame Ave, Hanover, Pennsylvania |
Authorized Official Name and Position | Joanne Chan (PRESIDENT) |
Authorized Official Contact | 7176323235 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hillside Internal Medicine Pc 250 Fame Ave Suite 135 Hanover PA 17331-1587 Ph: (717) 632-3235 | Hillside Internal Medicine Pc 250 Fame Ave Suite 135 Hanover PA 17331-1587 Ph: (717) 632-3235 |
NPI Number | 1588637235 |
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Provider Enumeration Date | 02/10/2006 |
Last Update Date | 08/20/2010 |
Medicare PECOS PAC ID | 2365434198 |
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Medicare Enrollment ID | O20040401000616 |
Identifier | Type | State | Issuer |
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1588637235 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Thomas Clark Keller |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1073587515 PECOS PAC ID: 1951375484 Enrollment ID: I20040821000000 |
Provider Name | Joanne Md Chan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1467426916 PECOS PAC ID: 9739213190 Enrollment ID: I20100820000510 |
Provider Name | Ann M Wilt |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356890123 PECOS PAC ID: 1254614571 Enrollment ID: I20171026002372 |
Michael L. Peck, D.o., Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3130 Grandview Rd, Hanover, PA 17331 Phone: 717-637-0839 Fax: 717-637-9314 | |
Quad/med, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 Kindig Lane, Plant 5, Hanover, PA 17331 Phone: 414-566-4000 | |