Lancaster General Medical Group
Organization Active NPI Hematology & Oncology Physician · Lancaster, PA
NPI 1376526152 · NPPES record last updated Nov 16, 2020
Key facts
- NPI
- 1376526152
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Hematology & Oncology Physician 207RH0003X
- Legal business name
- LANCASTER GENERAL MEDICAL GROUP
- Practice address
- 2102 Harrisburg Pike
Lancaster, PA 17601-2644 - Phone
- (717) 544-9400
- Fax
- (717) 544-9401
- NPI assigned
- Nov 25, 2005
- Organization subpart
- No
Authorized official
- Name
- Denise A Kennedy
- Title
- VP Financial Services
- Phone
- (717) 544-5010
Practitioners 13
-
Ellen Ruth Dreibelbis, AGACNP-BC
-
Jessi Rae Eno-Jones, CRNP
-
Cheryl Ann Gard, CNM, CRNP
-
William Clifford Hope, M.D.
-
Brandan Temple Lykens, P.A.
-
Randall Alan Oyer, M.D.
-
Matthew Lewis Pierotti, M.D.
-
Stacy Miller Wenzel, CRNP
-
Dania Mallick, MBBS, MSPH
-
Joshua Fosnot, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040309000916 | PA | Part B Supplier - Clinic/Group Practice | 0941103683 |
Receives reassigned benefits from 886 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
Locations
2150 Harrisburg Pike
#300
Lancaster, PA 17601
554 N Duke St
Lancaster, PA 17602
Phone (717) 291-5863
2108 Harrisburg Pike
Ste 300
Lancaster, PA 17601
Phone (717) 544-4819
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician |
207RH0003X | Yes |
Addresses
Primary practice location
2102 Harrisburg Pike
Lancaster, PA 17601-2644
Mailing address
2102 Harrisburg Pike
Lancaster, PA 17601-2644
Phone (717) 544-9400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 074040 | Other | PA | HIGHMARK BLUE SHIELD |
| 03118200 | Other | PA | CAPITAL BLUE CROSS |
| 1518637 | Other | PA | GATEWAY HEALTH PLAN |
| 532458 | Other | PA | AETNA HMO |
| CE0357 | Other | PA | RAILROAD MEDICARE |
| 1007327490095 | Medicaid | PA | |
| 4336 | Other | PA | GEISINGER HEALTH PLAN |
| 4523106 | Other | PA | AETNA NON-HMO |
Other names
- Penn Medicine Lancaster General Health Physicians Hematology &Oncology
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Other providers in Lancaster, PA
- Lancaster General Medical Group
- Lancaster General Medical Group
- Lancaster General Medical Group
- Lancaster General Medical Group
- Lancaster General Medical Group
- Lancaster General Medical Group
- Lancaster General Medical Group
- Lancaster General Medical Group
- Lancaster General Medical Group
- Lancaster General Medical Group
All providers in Lancaster, PA · Hematology & Oncology Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.