MEDICARE: DR. GEORGE L YARNELL D.P.M.

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	213E00000X	Podiatrist	SC-001368-L	PA

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	P025769	OTHER	PA	ADMINASTAR DEFENSE #
3	0032715000	OTHER	PA	PERSONAL CHOICE
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	0032715000	OTHER	PA	KEYSTONE HMO #
6	048613	OTHER	PA	PA BLUE SHIELD
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	ADMINASTAR	OTHER	PA	PROVIDER COMMERCIAL #
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891798898
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEORGE L YARNELL D.P.M.

Provider Business Mailing Address
First Line	:	23 N LANSDOWNE AVE
Second Line	:
City	:	LANSDOWNE
State	:	PA
Zip	:	19050-2205
Country	:	US
Telephone Number	:	610-626-3338
Fax Number	:	610-626-7542

Provider Business Practice Location Address
First Line	:	23 N LANSDOWNE AVE STE III
Second Line	:
City	:	LANSDOWNE
State	:	PA
Zip	:	19050-2254
Country	:	US
Telephone Number	:	610-626-3338
Fax Number	:	610-626-7542

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

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	07/01/2020

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