MEDICARE: SHAWN S MOYER 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	MD073665L	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	053520	OTHER		MEDICARE PROVIDER NUMBER

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	20024086	OTHER	PA	AMERIHEALTH MERCY HANNAH
2	20027090	OTHER	PA	AMERIHEALTH MERCY HANOVER
3	P004436	OTHER	PA	GATEWAY HEALTH PLAN
4	112705	OTHER	PA	UNISON
6	20024093	OTHER	PA	AMERIHEALTH MERCY GEORGE
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	02254101	OTHER	PA	CAPITAL BLUE CROSS/KEYSTO
9	H53230	OTHER	PA	HEALTH AMERICA/HEALTH ASS
10	20008818	OTHER	PA	AMERIHEALTH MERCY LEWISBE
11	1306974	OTHER	PA	HIGHMARK BLUE SHIELD

General Provider Information

NPI Number	:	1942241112
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAWN S MOYER MD

Provider Business Mailing Address
First Line	:	3141 CAPE HORN RD
Second Line	:
City	:	RED LION
State	:	PA
Zip	:	17356-9071
Country	:	US
Telephone Number	:	717-246-5180
Fax Number	:	717-246-2005

Provider Business Practice Location Address
First Line	:	3141 CAPE HORN RD
Second Line	:
City	:	RED LION
State	:	PA
Zip	:	17356-9071
Country	:	US
Telephone Number	:	717-246-5180
Fax Number	:	717-246-2005

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

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	04/30/2025

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Directions to “ SHAWN S MOYER MD” Practice Location

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