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1982645776

NPI Code Detail

MEDICARE: JOSEPH MOTACKI MD

MEDICARE: JOSEPH MOTACKI 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	2084P0800X	Psychiatry Physician	MD422709	PA
2	2084P0805X	Geriatric Psychiatry Physician	MD422709	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00289411	OTHER	PA	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	645695 (01)	OTHER	PA	BC/BS OF MD CARE FIRST
3	1729356	OTHER	PA	PA BLUE SHIELD
4	2144098	OTHER	PA	MAMSI
5	2234318	OTHER	PA	CIGNA BEHAVIORAL HEALTH
6	50048786	OTHER	PA	CAPITAL BLUE CROSS
7	537536	OTHER	PA	VALUE OPTIONS
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	794369000	OTHER	PA	MAGELLAN

General Provider Information

NPI Number	:	1982645776
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH MOTACKI MD

Provider Business Mailing Address
First Line	:	3550 CONCORD RD
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17402-8626
Country	:	US
Telephone Number	:	717-851-6340
Fax Number	:	717-851-6349

Provider Business Practice Location Address
First Line	:	3550 CONCORD RD
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17402-8626
Country	:	US
Telephone Number	:	717-851-6340
Fax Number	:	717-851-6349

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

Provider Enumeration Date	:	06/10/2006
Last Update Date	:	07/08/2010

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Directions to “ JOSEPH MOTACKI MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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