MEDICARE: MRS. ANNA J. BENNER-HELLMANN 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
1	363AM0700X	Medical Physician Assistant	MA051839	PA

General Provider Information

NPI Number	:	1396721064
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANNA J. BENNER-HELLMANN PA-C

Provider Business Mailing Address
First Line	:	224 S CHURCH ST
Second Line	:
City	:	WAYNESBORO
State	:	PA
Zip	:	17268-2608
Country	:	US
Telephone Number	:	717-655-1598
Fax Number	:

Provider Business Practice Location Address
First Line	:	2781 GERYVILLE PIKE
Second Line	:
City	:	PENNSBURG
State	:	PA
Zip	:	18073-2306
Country	:	US
Telephone Number	:	215-679-8071
Fax Number	:

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

Provider Enumeration Date	:	12/15/2005
Last Update Date	:	03/10/2022

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