Mandy R Fannin (NPI# 1972725877, PAC ID# 1456405414) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1972725877 |
| PAC ID by PECOS | 1456405414 |
| Professional Enrollment ID | I20090811000340 |
| Full Name | Mandy R Fannin |
| Organization Legal Name | WELLSPAN MEDICAL GROUP |
| Address |
808 Pleasantview Dr Ephrata PA 17522-1644 |
| Phone Number | 7177339090 |
| Gender | F |
| Graduation Year | 2006 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1951213115 |
| Number of Group Practice Members | 1060 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390225 | WELLSPAN EPHRATA COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 808 Pleasantview Dr, Ephrata, PA 17522-1644 | 7177339090 | WELLSPAN MEDICAL GROUP |
| Organization Legal Name | WELLSPAN MEDICAL GROUP |
| Physicians | 1155 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca Sitler | Physician Assistant | Wellspan Medical Group | 1600 S George St, York, PA 17403-4508 |
| Amber Rickrode | Nurse Practitioner | Wellspan Medical Group | 671 Wilson Ave, Hanover, PA 17331-9519 |
| Konrad Michael Dziamski | Rheumatology | Wellspan Medical Group | 292 St Charles Way, Wellspan Rheumatology, York, PA 17402-4648 |
| Detrich Brown | Nurse Practitioner | Wellspan Medical Group | 1401 Roosevelt Ave, York, PA 17404-2244 |
| Ricky Daniel Heath | Geriatric Medicine | Wellspan Medical Group | 720 Norman Dr, Wellspan Family Medicine Norman Drive, Lebanon, PA 17042-7481 |
| Patricia Martha Zahner | Urology | Wellspan Medical Group | 450 S Washington St, Suite E Wellspan Urology, Gettysburg, PA 17325-2500 |
| Obioma J. Igboko | Pain Management | Wellspan Medical Group | 1227 Baltimore St, Hanover, PA 17331-4406 |
| Courtney Erin Krug | Radiation Oncology | Wellspan Medical Group | 35 Monument Rd, Suite 201, York, PA 17403-5074 |
| Matthew James Mccarl | Family Medicine | Wellspan Medical Group | 100 Frederick St, Suite 101, Hanover, PA 17331-3518 |
| Alyson Hope Neiheiser | Nurse Practitioner | Wellspan Medical Group | 136 Lake St, Ephrata, PA 17522-2415 |
| Street Address |
808 PLEASANTVIEW DR |
| City | EPHRATA |
| State | PA |
| Zip | 17522-1644 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alison Lima | Family Medicine | Wellspan Medical Group | 808 Pleasantview Dr, Ephrata, PA 17522-1644 |
| Joseph G Degenhard | Family Medicine | Wellspan Medical Group | 808 Pleasantview Dr, Ephrata, PA 17522-1644 |
| Hayley Ryan | Family Medicine | Wellspan Medical Group | 808 Pleasantview Dr, Ephrata, PA 17522-1644 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Joseph Flaim | Optometry | 1521 W Main St, Ehprata, PA 17522-1102 | |
| Daniel E Herrmann | Physical Therapy | Hartz Physical Therapy, Inc. | 1635 W Main St, Suite 500, Ephrata, PA 17522-1145 |
| Luke R Atkins | Physical Therapy | Hartz Physical Therapy, Inc. | 1635 W Main St, Suite 500, Ephrata, PA 17522-1145 |
| David S Parker | Chiropractic | 904 Dawn Ave, Ephrata, PA 17522-1340 | |
| Michael Dennis Reddig | Optometry | Dennis A Reddig Od and Michael D Reddig Od | 32 Hummer Rd, Ephrata, PA 17522-1507 |
| Dennis A Reddig | Optometry | Dennis A Reddig Od and Michael D Reddig Od | 32 Hummer Rd, Ephrata, PA 17522-1507 |
| April Dawn Rodgers-reddig | Optometry | Dennis A Reddig Od and Michael D Reddig Od | 32 Hummer Rd, Ephrata, PA 17522-1507 |
| John Vakkas | Maxillofacial Surgery | Sudbrink Oral Surgery Associates PC | 800 Grandview Dr, Ephrata, PA 17522-1635 |
| Steven David Sudbrink | Maxillofacial Surgery | Sudbrink Oral Surgery Associates PC | 800 Grandview Dr, Ephrata, PA 17522-1635 |
| Michael Robert Pavlica | Ophthalmology | Family Eye Group PC | 155 N Reading Rd, Ephrata, PA 17522-1671 |
| Find all physicians in zip 17522 | |||
| City | EPHRATA |
| Zip Code | 17522 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | EPHRATA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Mandy R Fannin.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.