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100 Frederick St Suite 101 Hanover PA 17331-3518 | |
(717) 851-7050 | |
(717) 632-7478 |
Full Name | |
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Speciality | Family Medicine |
Location | 100 Frederick St, Hanover, 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 |
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1803 Mount Rose Ave Suite B3 York PA 17403-3026 Ph: (717) 851-6816 | 100 Frederick St Suite 101 Hanover PA 17331-3518 Ph: (717) 851-7050 |
NPI Number | 1114292760 |
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Provider Enumeration Date | 03/15/2012 |
Last Update Date | 01/11/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114292760 | NPI | - | NPPES |
30112625 | Other | PA | AMERIHEALTH MERCY - WMG |
9886818 | Other | PA | AETNA |
2695421 | Other | PA | HIGHMARK BLUE SHIELD |
50107968 | Other | PA | CAPITAL BLUE CROSS - WMG |
1603334 | Other | PA | GATEWAY HEALTH PLAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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 | |