Active NPI
Wynne Ann Hoffacker, M.D.
- Family Medicine Physician
- East Berlin, PA
National Provider Identifier
1528090321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD057567L
- Practice address
- 105 4TH St
East Berlin, PA 17316-9638 - Phone
- (717) 846-4644
- Fax
- (717) 259-7262
- NPI assigned
- Jul 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD057567L | PA | Primary |
Addresses
Primary practice location
105 4TH St
East Berlin, PA 17316-9638
Mailing address
601 Memory LN
York, PA 17402-2231
Phone (717) 812-4900
Other practice location 1
1227 Baltimore St
Hanover, PA 17331-4406
Phone (717) 812-5190
Other practice location 2
2149 S Queen St
York, PA 17403-4845
Phone (717) 356-4460
Other practice location 3
100 Eisenhower Dr
Hanover, PA 17331-5241
Phone (717) 646-4201
Other practice location 4
101 W Airport Rd
Lititz, PA 17543-9274
Phone (717) 466-2445
Other practice location 5
2250 E Market St
York, PA 17402-2857
Phone (717) 851-1566
Other practice location 6
9 Nathan Ln
Annville, PA 17003-6500
Phone (717) 639-3350
Other practice location 7
96 Sofia Dr Ste 208
Shrewsbury, PA 17361-5201
Phone (717) 812-2400
Other practice location 8
4050 N George Street Ext
Manchester, PA 17345-9347
Phone (717) 356-4370
Other practice location 9
446 N Reading Rd
Ephrata, PA 17522-9802
Phone (717) 738-5275
Other practice location 10
455 S Washington St Ste 12
Gettysburg, PA 17325-2516
Phone (717) 339-2875
Other practice location 11
717 Town Center Dr
York, PA 17408-4824
Phone (717) 356-4240
Other practice location 12
52 Water St
Thurmont, MD 21788-1912
Phone (717) 356-5198
Other practice location 13
2900 Carlisle Pike
New Oxford, PA 17350-8426
Phone (717) 812-2554
Other practice location 14
10 Muddy Creek Forks Rd Ste 3
Brogue, PA 17309-9497
Phone (717) 812-5020
Other practice location 15
755 S Pleasant Ave
Dallastown, PA 17313-9252
Phone (717) 851-1300
Other practice location 16
430 N Main St
Spring Grove, PA 17362-1123
Phone (717) 851-6500
Other practice location 17
100 Frederick St Ste 101
Hanover, PA 17331-3518
Phone (717) 851-7050
Other practice location 18
2775 N George St
York, PA 17406-3020
Phone (717) 812-7300
Other practice location 19
2350 Freedom Way Ste 150
York, PA 17402-8200
Phone (717) 851-7315
Other practice location 20
1401 Roosevelt Ave
York, PA 17404-2244
Phone (717) 356-6250
Other practice location 21
55 N Main St
Jacobus, PA 17407-1248
Phone (717) 428-1911
Other practice location 22
1575 Bannister St Ste 1
York, PA 17404-4946
Phone (717) 812-2000
Other practice location 23
4910 Fairfield Rd Ste A
Fairfield, PA 17320-9510
Phone (717) 339-3175
Other practice location 24
2060 Carlisle Rd
Aspers, PA 17304-9707
Phone (717) 339-2585
Other practice location 25
3065 Windsor Rd
Red Lion, PA 17356-8533
Phone (717) 812-3040
Other practice location 26
2675 Joppa Rd
York, PA 17403-5160
Phone (717) 741-9063
Other practice location 27
2339 S George St
York, PA 17403-5009
Phone (717) 812-3040
Other practice location 28
2050 S Queen St Ste 100
York, PA 17403-4829
Phone (717) 812-4240
Other practice location 29
820 Chambersburg Rd
Gettysburg, PA 17325-3310
Phone (717) 337-4410
Other practice location 30
300 W King St Ste C
Littlestown, PA 17340-1446
Phone (717) 339-2390
Other practice location 31
40 V Twin Dr Ste 204
Gettysburg, PA 17325-7878
Phone (717) 339-2424
Other practice location 32
423 S Washington St
Gettysburg, PA 17325-2526
Phone (717) 339-3165
Other practice location 33
1010 Plymouth Rd
York, PA 17402-3864
Phone (717) 851-1800
Other practice location 34
13515 Wolfe Rd Ste C
New Freedom, PA 17349-9346
Phone (717) 812-2501
Other practice location 35
235 Rosedale Dr
Manchester, PA 17345-1022
Phone (717) 812-5229
Other practice location 36
605 S George St Ste 200
York, PA 17401-3161
Phone (717) 851-2334
Other practice location 37
25 Monument Rd Ste 140
York, PA 17403-5057
Phone (717) 741-8003
Other practice location 38
370 Saint Charles Way
York, PA 17402-4647
Phone (717) 741-8003
Other practice location 39
4222 Lincoln Hwy
York, PA 17406-8083
Phone (717) 812-2050
Other practice location 40
1790 Old Trail Rd
Etters, PA 17319-9652
Phone (717) 938-6588
Other practice location 41
4020 Carlisle Rd
Dover, PA 17315-3508
Phone (717) 851-6400
Other practice location 42
15 Constitution Ave
Shrewsbury, PA 17361-1709
Phone (717) 235-6848
Other practice location 43
2003 E Market St
York, PA 17402-2841
Phone (717) 812-4242
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30123009 - CAREEXP. | Other | PA | AMERIHEALTH MERCY - WMG |
| 30123010 - RDYCARE | Other | PA | AMERIHEALTH MERCY - WMG |
| 80909 | Other | PA | UNISON-WMG |
| 95759 | Other | PA | GEISINGER |
| 30033 | Other | PA | JOHNS HOPKINS |
| P002801 | Other | PA | GATEWAY-WMG |
| 001563960 | Medicaid | PA | |
| 238929 | Other | PA | MAMSI-WMG |
| 842830 | Other | PA | HIGHMARK BLUE SHIELD |
| 542991 | Other | MD | CAREFIRST MD BCBS |
| 01059102 | Other | PA | CAPITAL BLUE CROSS-WMG |
| 1142351 | Other | PA | AMERIHEALTH MERCY-WMG |
| 4516556 | Other | PA | AETNA |
Other names 1
- Dr. Wynne Ann Brinks
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| York Hospital | Current | Accepting new patients | |
| York Hospital | Family Medicine | Current | Accepting new patients |
| York Hospital | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
52 Water St
Thurmont, MD 21788
Phone (301) 271-3535
1790 Old Trail Rd
Etters, PA 17319
Phone (717) 938-6588
455 S Washington St
Ste 12
Gettysburg, PA 17325
Phone (717) 334-1800
40 V Twin Dr
Ste 204
Gettysburg, PA 17325
Phone (717) 339-2424
100 Frederick St
Ste 101
Hanover, PA 17331
Phone (717) 851-7050
235 Rosedale Dr
Manchester, PA 17345
Phone (717) 812-5229
13515 Wolfe Rd
Ste C
New Freedom, PA 17349
Phone (717) 812-2501
2900 Carlisle Pike
New Oxford, PA 17350
Phone (717) 624-5260
3065 Windsor Rd
Red Lion, PA 17356
Phone (717) 812-3040
1803 Mount Rose Ave
Ste B3
York, PA 17403
Phone (717) 851-6816
1575 Bannister St
Ste 1
York, PA 17404
Phone (717) 812-2000
605 S George St
Ste 200
York, PA 17401
Phone (717) 851-2334
601 Memory Ln
York, PA 17402
Phone (717) 851-6670
4020 Carlisle Rd
York, PA 17315
Phone (717) 812-4240
2775 N George St
York, PA 17406
Phone (717) 812-7300
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
25 Monument Rd
Ste 140
York, PA 17403
Phone (717) 741-8003
2350 Freedom Way
Ste 150
York, PA 17402
Phone (717) 851-7315
1001 S George St
York, PA 17403
Phone (717) 812-7687
4222 Lincoln Hwy
York, PA 17406
Phone (717) 812-2050
2250 E Market St
York, PA 17402
Phone (717) 812-6670
Interoperability endpoints
- whoffacker13721@wellspan.direct-ci.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- York, PA
- NPI 1326060492
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- York, PA
- NPI 1114885480
-
- Family Medicine Physician
- York, PA
- NPI 1881617132
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710288000000",
"number": "1528090321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 MEMORY LN",
"city": "YORK",
"state": "PA",
"postal_code": "174022231",
"telephone_number": "717-812-4900",
"fax_number": "717-255-0951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 4TH ST",
"city": "EAST BERLIN",
"state": "PA",
"postal_code": "173169638",
"telephone_number": "717-846-4644",
"fax_number": "717-259-7262"
}
],
"practiceLocations": [
{
"address_1": "1227 Baltimore St",
"address_purpose": "LOCATION",
"city": "Hanover",
"state": "PA",
"postal_code": "173314406",
"country_code": "US",
"telephone_number": "717-812-5190",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2149 S Queen St",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174034845",
"country_code": "US",
"telephone_number": "717-356-4460",
"country_name": "United States",
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},
{
"address_1": "100 Eisenhower Dr",
"address_purpose": "LOCATION",
"city": "Hanover",
"state": "PA",
"postal_code": "173315241",
"country_code": "US",
"telephone_number": "717-646-4201",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 W Airport Rd",
"address_purpose": "LOCATION",
"city": "Lititz",
"state": "PA",
"postal_code": "175439274",
"country_code": "US",
"telephone_number": "717-466-2445",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2250 E Market St",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174022857",
"country_code": "US",
"telephone_number": "717-851-1566",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9 Nathan Ln",
"address_purpose": "LOCATION",
"city": "Annville",
"state": "PA",
"postal_code": "170036500",
"country_code": "US",
"telephone_number": "717-639-3350",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "96 Sofia Dr Ste 208",
"address_purpose": "LOCATION",
"city": "Shrewsbury",
"state": "PA",
"postal_code": "173615201",
"country_code": "US",
"telephone_number": "717-812-2400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4050 N George Street Ext",
"address_purpose": "LOCATION",
"city": "Manchester",
"state": "PA",
"postal_code": "173459347",
"country_code": "US",
"telephone_number": "717-356-4370",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "446 N Reading Rd",
"address_purpose": "LOCATION",
"city": "Ephrata",
"state": "PA",
"postal_code": "175229802",
"country_code": "US",
"telephone_number": "717-738-5275",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "455 S Washington St Ste 12",
"address_purpose": "LOCATION",
"city": "Gettysburg",
"state": "PA",
"postal_code": "173252516",
"country_code": "US",
"telephone_number": "717-339-2875",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "717 Town Center Dr",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174084824",
"country_code": "US",
"telephone_number": "717-356-4240",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "52 Water St",
"address_purpose": "LOCATION",
"city": "Thurmont",
"state": "MD",
"postal_code": "217881912",
"country_code": "US",
"telephone_number": "717-356-5198",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2900 Carlisle Pike",
"address_purpose": "LOCATION",
"city": "New Oxford",
"state": "PA",
"postal_code": "173508426",
"country_code": "US",
"telephone_number": "717-812-2554",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10 Muddy Creek Forks Rd Ste 3",
"address_purpose": "LOCATION",
"city": "Brogue",
"state": "PA",
"postal_code": "173099497",
"country_code": "US",
"telephone_number": "717-812-5020",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "755 S Pleasant Ave",
"address_purpose": "LOCATION",
"city": "Dallastown",
"state": "PA",
"postal_code": "173139252",
"country_code": "US",
"telephone_number": "717-851-1300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "430 N Main St",
"address_purpose": "LOCATION",
"city": "Spring Grove",
"state": "PA",
"postal_code": "173621123",
"country_code": "US",
"telephone_number": "717-851-6500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Frederick St Ste 101",
"address_purpose": "LOCATION",
"city": "Hanover",
"state": "PA",
"postal_code": "173313518",
"country_code": "US",
"telephone_number": "717-851-7050",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2775 N George St",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174063020",
"country_code": "US",
"telephone_number": "717-812-7300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2350 Freedom Way Ste 150",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174028200",
"country_code": "US",
"telephone_number": "717-851-7315",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1401 Roosevelt Ave",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174042244",
"country_code": "US",
"telephone_number": "717-356-6250",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "55 N Main St",
"address_purpose": "LOCATION",
"city": "Jacobus",
"state": "PA",
"postal_code": "174071248",
"country_code": "US",
"telephone_number": "717-428-1911",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1575 Bannister St Ste 1",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174044946",
"country_code": "US",
"telephone_number": "717-812-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4910 Fairfield Rd Ste A",
"address_purpose": "LOCATION",
"city": "Fairfield",
"state": "PA",
"postal_code": "173209510",
"country_code": "US",
"telephone_number": "717-339-3175",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2060 Carlisle Rd",
"address_purpose": "LOCATION",
"city": "Aspers",
"state": "PA",
"postal_code": "173049707",
"country_code": "US",
"telephone_number": "717-339-2585",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3065 Windsor Rd",
"address_purpose": "LOCATION",
"city": "Red Lion",
"state": "PA",
"postal_code": "173568533",
"country_code": "US",
"telephone_number": "717-812-3040",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2675 Joppa Rd",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174035160",
"country_code": "US",
"telephone_number": "717-741-9063",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2339 S George St",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174035009",
"country_code": "US",
"telephone_number": "717-812-3040",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2050 S Queen St Ste 100",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174034829",
"country_code": "US",
"telephone_number": "717-812-4240",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "820 Chambersburg Rd",
"address_purpose": "LOCATION",
"city": "Gettysburg",
"state": "PA",
"postal_code": "173253310",
"country_code": "US",
"telephone_number": "717-337-4410",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 W King St Ste C",
"address_purpose": "LOCATION",
"city": "Littlestown",
"state": "PA",
"postal_code": "173401446",
"country_code": "US",
"telephone_number": "717-339-2390",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "40 V Twin Dr Ste 204",
"address_purpose": "LOCATION",
"city": "Gettysburg",
"state": "PA",
"postal_code": "173257878",
"country_code": "US",
"telephone_number": "717-339-2424",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "423 S Washington St",
"address_purpose": "LOCATION",
"city": "Gettysburg",
"state": "PA",
"postal_code": "173252526",
"country_code": "US",
"telephone_number": "717-339-3165",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1010 Plymouth Rd",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174023864",
"country_code": "US",
"telephone_number": "717-851-1800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13515 Wolfe Rd Ste C",
"address_purpose": "LOCATION",
"city": "New Freedom",
"state": "PA",
"postal_code": "173499346",
"country_code": "US",
"telephone_number": "717-812-2501",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "235 Rosedale Dr",
"address_purpose": "LOCATION",
"city": "Manchester",
"state": "PA",
"postal_code": "173451022",
"country_code": "US",
"telephone_number": "717-812-5229",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "605 S George St Ste 200",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174013161",
"country_code": "US",
"telephone_number": "717-851-2334",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "25 Monument Rd Ste 140",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174035057",
"country_code": "US",
"telephone_number": "717-741-8003",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "370 Saint Charles Way",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174024647",
"country_code": "US",
"telephone_number": "717-741-8003",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4222 Lincoln Hwy",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174068083",
"country_code": "US",
"telephone_number": "717-812-2050",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1790 Old Trail Rd",
"address_purpose": "LOCATION",
"city": "Etters",
"state": "PA",
"postal_code": "173199652",
"country_code": "US",
"telephone_number": "717-938-6588",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4020 Carlisle Rd",
"address_purpose": "LOCATION",
"city": "Dover",
"state": "PA",
"postal_code": "173153508",
"country_code": "US",
"telephone_number": "717-851-6400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15 Constitution Ave",
"address_purpose": "LOCATION",
"city": "Shrewsbury",
"state": "PA",
"postal_code": "173611709",
"country_code": "US",
"telephone_number": "717-235-6848",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2003 E Market St",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174022841",
"country_code": "US",
"telephone_number": "717-812-4242",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOFFACKER",
"first_name": "WYNNE",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-06",
"last_updated": "2024-03-13",
"certification_date": "2024-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD057567L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH MERCY - WMG",
"identifier": "30123009 - CAREEXP.",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH MERCY - WMG",
"identifier": "30123010 - RDYCARE",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON-WMG",
"identifier": "80909",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER",
"identifier": "95759",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHNS HOPKINS",
"identifier": "30033",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY-WMG",
"identifier": "P002801",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001563960",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI-WMG",
"identifier": "238929",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "842830",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MD BCBS",
"identifier": "542991",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS-WMG",
"identifier": "01059102",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH MERCY-WMG",
"identifier": "1142351",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4516556",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "WYNNE",
"last_name": "BRINKS",
"middle_name": "ANN",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in East Berlin, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.