| Penn Medicine Lghp Family Medicine Susquehanna | |
|
1159 River Rd Marietta PA 17547-1628 | |
| (717) 426-1131 | |
| (717) 426-2068 |
| Full Name | Penn Medicine Lghp Family Medicine Susquehanna |
|---|---|
| Speciality | Family Medicine |
| Location | 1159 River Rd, Marietta, 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 Susquehanna 1159 River Rd Marietta PA 17547-1628 Ph: (717) 426-1131 | Penn Medicine Lghp Family Medicine Susquehanna 1159 River Rd Marietta PA 17547-1628 Ph: (717) 426-1131 |
| NPI Number | 1740255124 |
|---|---|
| Provider Enumeration Date | 02/21/2006 |
| Last Update Date | 11/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740255124 | NPI | - | NPPES |
| 1007327490088 | Medicaid | PA | |
| 1019796 | Other | PA | GATEWAY HEALTH PLAN |
| 535947 | Other | PA | AETNA HMO |
| CN7614 | Other | PA | RAILROAD MEDICARE |
| 02364600 | Other | PA | CAPITAL BLUE CROSS |
| 5026097 | Other | PA | AETNA NON-HMO |
| S1QK | Other | PA | GEISINGER HEALTH PLAN |
| 430843 | Other | PA | HIGHMARK BLUE SHIELD |
| 5761 | Other | PA | AETNA CAP OFFICE# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |