MEDICARE: DR. PAUL J QUESENBERRY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	D86668	MD
2	207Q00000X	Family Medicine Physician	MD052474L	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	867633	OTHER	PA	MEDICARE GROUP #
14	080087934	OTHER	PA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	843855	OTHER	PA	AETNA HMO
3	QU766314	OTHER	PA	HIGHMARK BLUESHIELD
4	122756	OTHER	PA	UNISON
6	25-1716306	OTHER	PA	MULTIPLAN/PHCS
7	427334	OTHER	PA	HEALTH AMERICA
8	247738	OTHER	PA	MAMSI
9	25-1716306	OTHER	PA	DEVON
10	25-1716306	OTHER	PA	HEALTHNET/TRICARE
11	2106701	OTHER	PA	CAPITAL BLUECROSS
12	25-1716306	OTHER	PA	INTERGROUP
13	25-1716306	OTHER	PA	INFORMED
15	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
16	120420409	OTHER	PA	DEPT OF LABOR
17	1336313	OTHER	PA	FIRST HEALTH
18	25-1716306	OTHER	PA	GREATWEST HEALTHCARE
19	25-1716306	OTHER	PA	SOUTH CENTRAL PREFERRED
20	4526530	OTHER	PA	AETNA NON-HMO
21	MD052474L	OTHER	PA	LICENSE
22	P006024	OTHER	PA	GATEWAY

General Provider Information

NPI Number	:	1326043761
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL J QUESENBERRY MD

Provider Business Mailing Address
First Line	:	524 S WASHINGTON ST
Second Line	:
City	:	GETTYSBURG
State	:	PA
Zip	:	17325-2594
Country	:	US
Telephone Number	:	717-334-2183
Fax Number	:	717-334-4170

Provider Business Practice Location Address
First Line	:	524 S WASHINGTON ST
Second Line	:
City	:	GETTYSBURG
State	:	PA
Zip	:	17325-2594
Country	:	US
Telephone Number	:	717-334-2183
Fax Number	:	717-334-4170

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	08/07/2024

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