| Wellspan Family Medicine - Bannister St | |
|
1575 Bannister St Suite 1 York PA 17404-4946 | |
| (717) 812-2000 | |
| (717) 812-2010 |
| Full Name | Wellspan Family Medicine - Bannister St |
|---|---|
| Speciality | Family Medicine |
| Location | 1575 Bannister St, York, Pennsylvania |
| Authorized Official Name and Position | Christina Vest (CREDENTIALING SUPERVISOR) |
| Authorized Official Contact | 7178511405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspan Family Medicine - Bannister St 1803 Mount Rose Ave Suite B3 York PA 17403-3051 Ph: (717) 851-1405 | Wellspan Family Medicine - Bannister St 1575 Bannister St Suite 1 York PA 17404-4946 Ph: (717) 812-2000 |
| NPI Number | 1811065626 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 01/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811065626 | NPI | - | NPPES |
| 1007721360094 | Medicaid | PA | |
| 1519300 | Other | PA | GATEWAY |
| KX10 | Other | MD | CAREFIRST MD BCBS |
| 03006400 | Other | PA | CAPITAL BLUE CROSS |
| 107496 | Other | PA | HIGHMARK BLUE SHIELD |
| 4474210 | Other | PA | AETNA |
| 800174 | Other | PA | JOHN HOPKINS |
| 82186 | Other | PA | UNISON |
| CA3246 | Other | PA | RAILROAD MEDICARE |
| S1E6 | Other | PA | GEISINGER |
| 0068841001 | Other | PA | AMERIHEALTH 65 PA |
| 1142406 | Other | PA | AMERIHEALTH MERCY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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Family Internal Medicine Pa Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1850 Normandie Dr, York, PA 17408 Phone: 717-373-2609 | |
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