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Organization
WELLSPAN MEDICAL GROUP
Active
Organization
WELLSPAN MEDICAL GROUP
Active
Other names
Biglerville Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY F WILKINSON (CREDENTIALING SUPERVISOR)
(717) 851-1405
Entity
Organization
Contact information
Practice address
2060 CARLISLE ROAD, ASPERS, PA 17304-9707
(717) 339-2590
(717) 677-7810
Mailing address
1803 MOUNT ROSE AVE, SUITE B3, YORK, PA 17403-3051
(717) 851-1405
(717) 677-7810
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03255900
CAPITAL BLUE CROSS
PA
05
—
1007721360122
—
PA
01
—
122151
UNISON
PA
01
—
1382352
HIGHMARK BLUE SHIELD
PA
01
—
1520912
GATEWAY
PA
01
—
20013068
AMERIHEALTH MERCY
PA
01
—
401065504
MD MEDICAL ASSISTANCE
MD
01
—
7974869
AETNA
PA
01
—
800174
JOHN HOPKINS
PA
01
—
CA3246
RAILROAD MEDICARE
PA
01
—
KX10
CAREFIRST MD BCBS
MD
01
—
S1EL
GEISINGER
PA
Enumeration date
11/30/2006
Last updated
07/20/2010
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