MEDICARE: DR. SCOTT PLENSDORF 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	MD458301	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5954775	OTHER	MI	AETNA
2	C6555	OTHER	MI	MCARE
3	010B56026	OTHER	MI	COMMUNITY BLUE PPO
4	253047	OTHER	MI	MCLAREN HEALTH PLAN
5	253047	OTHER	MI	HEALTH ADVANTAGE NETWORK
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	010B56026	OTHER	MI	BLUE CROSS BLUE SHIELD
8	0802504591	OTHER	MI	BLUE CROSS BLUE SHIELD
9	010B56026	OTHER	MI	BLUE CHOICE
10	010B56026	OTHER	MI	BLUE CARE NETWORK
11	0985515	OTHER	MI	HEALTHPLUS
12	G28639	OTHER	MI	HEALTH NET FEDERAL SERVIC
13	G28639	OTHER	MI	HAP

General Provider Information

NPI Number	:	1083697528
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT PLENSDORF MD

Provider Business Mailing Address
First Line	:	317 CHESTNUT ST
Second Line	:
City	:	QUARRYVILLE
State	:	PA
Zip	:	17566-1184
Country	:	US
Telephone Number	:	717-786-7383
Fax Number	:	717-786-8635

Provider Business Practice Location Address
First Line	:	540 NORTH DUKE STREET
Second Line	:	3RD FLOOR
City	:	LANCASTER
State	:	PA
Zip	:	17602-2374
Country	:	US
Telephone Number	:	717-786-7383
Fax Number	:	717-786-8635

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

Provider Enumeration Date	:	11/29/2005
Last Update Date	:	02/14/2025

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