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NPI Code Detail

MEDICARE: MEREDITH JEAN SCHELLHASE PA-C

MEDICARE: MEREDITH JEAN SCHELLHASE PA-C
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
1363AM0700XMedical Physician AssistantMA055942PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235471293
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEREDITH JEAN SCHELLHASE PA-C
Provider Business Mailing Address
First Line : 601 MEMORY LN
Second Line :
City : YORK
State : PA
Zip : 17402-2231
Country : US
Telephone Number : 717-749-3181
Fax Number : 717-349-3191
Provider Business Practice Location Address
First Line : 8131 SPYGLASS HILL DR
Second Line :
City : FAYETTEVILLE
State : PA
Zip : 17222-5500
Country : US
Telephone Number : 717-749-3181
Fax Number : 717-349-3191
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2013
Last Update Date : 02/06/2025

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