| Penn Medicine Lghp Family Medicine East Petersburg | |
|
5665 Main St East Petersburg PA 17520-1513 | |
| (717) 569-7011 | |
| (717) 569-8694 |
| Full Name | Penn Medicine Lghp Family Medicine East Petersburg |
|---|---|
| Speciality | Family Medicine |
| Location | 5665 Main St, East Petersburg, Pennsylvania |
| Authorized Official Name and Position | Denise A Kennedy (VP FINANCIAL SERVICES) |
| Authorized Official Contact | 7175445010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Penn Medicine Lghp Family Medicine East Petersburg 5665 Main St East Petersburg PA 17520-1513 Ph: (717) 569-7011 | Penn Medicine Lghp Family Medicine East Petersburg 5665 Main St East Petersburg PA 17520-1513 Ph: (717) 569-7011 |
| NPI Number | 1083600290 |
|---|---|
| Provider Enumeration Date | 09/22/2005 |
| Last Update Date | 11/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083600290 | NPI | - | NPPES |
| 515156 | Other | PA | AETNA HMO |
| 5634046 | Other | PA | AETNA NON-HMO |
| 5702 | Other | PA | AETNA CAP OFFICE# |
| 03093300 | Other | PA | CAPITAL BLUE CROSS |
| CN7460 | Other | PA | RAILROAD MEDICARE |
| 1007327490104 | Medicaid | PA | |
| 174248 | Other | PA | HIGHMARK BLUE SHIELD |
| 1518490 | Other | PA | GATEWAY HEALTH PLAN |
| S1QC | Other | PA | GEISINGER HEALTH PLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |