MEDICARE: 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

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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	0032715000	OTHER	PA	BLUE SHIELD
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	0032715000	OTHER	PA	KEYSTONE HMO
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	P025769	OTHER		ADMINASTAR DEFENSE
8	003715000	OTHER	PA	KEYSTONE HMO
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215557145
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GEORGE L YARNELL, D.P.M.

Provider Business Mailing 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

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	:	OWNER
Name	:	DR. GEORGE L YARNELL
Credential	:	DPM
Telephone Number	:	610-626-3338

Provider Enumeration Date	:	04/21/2020
Last Update Date	:	04/21/2020

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