Individual provider Active NPI

Eric M Flickinger, PAC

  • Medical Physician Assistant
  • Hanover, PA
National Provider Identifier
1952364507
Registry record updated Jan 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA002937L Issued in PA
Practice address
207 Blooming Grove Rd
Hanover, PA 17331-7917
Phone
(717) 632-5259
Fax
(717) 632-2422
NPI assigned
Apr 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA002937L PA Primary

Addresses

Primary practice location

207 Blooming Grove Rd
Hanover, PA 17331-7917

Mailing address

3421 Concord Rd
York, PA 17402-9001
Phone (717) 632-5259

Other identifiers 3

IdentifierTypeStateIssuer
1569860OtherPAGATEWAY-WMG
1997092OtherPAHIGHMARK BLUE SHIELD FB
50073786OtherPACAPITAL BLUE CROSS WMG

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040413001452 PA Practitioner - Physician Assistant 1153315973 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

1227 Baltimore St
Hanover, PA 17331-4406
Phone (717) 812-7559

147 Gettys St
Gettysburg, PA 17325-2534
Phone (717) 334-2121

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

25 Monument Rd
York, PA 17403-5073

2618 E Market St
Autumn House
York, PA 17403
Phone (717) 845-7214

914 W Market St
Autumn House West
York, PA 17403
Phone (717) 845-7214

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Dec 31, 2007 Accepting new patients
Wellspan Medical Group CurrentSince Dec 31, 2007 Accepting new patients
Sun Orthopaedic Group, Inc. Past Accepting new patients
Sun Orthopaedic Group Past Accepting new patients
Wellspan Medical Group Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

18 Deatrick Dr
Gettysburg, PA 17325
Phone (717) 339-2500

207 Blooming Grove Rd
Hanover, PA 17331
Phone (717) 637-6356

1227 Baltimore St
Hanover, PA 17331
Phone (717) 646-4204

300 Highland Ave
Hanover, PA 17331
Phone (717) 316-3711

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

1600 S George St
York, PA 17403
Phone (717) 848-3615

Interoperability endpoints

  • Direct secure messaging: eflickinger16198@wellspan.direct-ci.com

Organizations & group practices 8

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388707200000",
    "number": "1952364507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 CONCORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029001",
            "telephone_number": "717-632-5259",
            "fax_number": "717-632-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 BLOOMING GROVE RD",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173317917",
            "telephone_number": "717-632-5259",
            "fax_number": "717-632-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLICKINGER",
        "first_name": "ERIC",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2014-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA002937L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY-WMG",
            "identifier": "1569860",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD FB",
            "identifier": "1997092",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS WMG",
            "identifier": "50073786",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, PA

Sources for this page

Verify at the official NPI Registry.