| Wellspan Family Medicine - Stony Brook | |
|
4222 Lincoln Hwy York PA 17406-8083 | |
| (717) 812-2050 | |
| (717) 812-2052 |
| Full Name | Wellspan Family Medicine - Stony Brook |
|---|---|
| Speciality | Family Medicine |
| Location | 4222 Lincoln Hwy, 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 - Stony Brook 1803 Mount Rose Ave Suite B3 York PA 17403-3051 Ph: (717) 851-1405 | Wellspan Family Medicine - Stony Brook 4222 Lincoln Hwy York PA 17406-8083 Ph: (717) 812-2050 |
| NPI Number | 1710055819 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 01/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710055819 | NPI | - | NPPES |
| 1007721360117 | Medicaid | PA | |
| 1142436 | Other | PA | AMERIHEALTH MERCY |
| 800174 | Other | PA | JOHN HOPKINS |
| S1E2 | Other | PA | GEISINGER |
| 82195 | Other | PA | UNISON |
| 597333 | Other | PA | HIGHMARK BLUE SHIELD |
| KX10 | Other | MD | CAREFIRST MD BCBS |
| CA3246 | Other | PA | RAILROAD MEDICARE |
| 1519297 | Other | PA | GATEWAY |
| 02314700 | Other | PA | CAPITAL BLUE CROSS |
| 0756904001 | Other | PA | AMERIHEALTH 65 PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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