Individual
MR. JEROME VINCENT VENTURINA BACASNOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 S GEORGE ST, YORK HOSPITAL DEPARTMENT OF EMERGENCY MEDICINE, YORK, PA 17403-3676
(717) 851-2450
(717) 851-3469
Mailing address
1803 MOUNT ROSE AVE, SUITE B3, YORK, PA 17403-3051
(717) 851-1405
(717) 851-6969
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD434659
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102168935
—
PA
01
—
118663
GEISINGER HEALTH PLAN
PA
01
—
1572369
GATEWAY-WMG
PA
01
—
20076940
AMERIHEALTH MERCY-WMG
PA
01
—
2067460
HIGHMARK BLUE SHIELD
PA
01
—
211500
JOHNS HOPKINS
PA
01
—
248111
UNISON-WMG
PA
01
—
50079323
CAPITAL BLUE CROSS-WMG
PA
01
—
9864197
AETNA
PA
Enumeration date
12/10/2007
Last updated
03/23/2009
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