MEDICARE: THOMAS GATES 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	MD056576	PA
2	207Q00000X	Family Medicine Physician	MD056576L	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
9	080100820	OTHER	PA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000257176	OTHER	PA	UNISON
2	000800463	OTHER	PA	HIGHMARK BLUE SHIELD
3	0824181000	OTHER	PA	INDEPENDENCE BLUE CROSS
4	20007889	OTHER	PA	AMERIHEALTH MERCY
5	50082740	OTHER	PA	CAPITAL BLUE CROSS
6	P002756	OTHER	PA	GATEWAY
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	555763	OTHER	PA	AETNA
10	39012	OTHER	PA	GEISINGER HEALTH PLAN

General Provider Information

NPI Number	:	1477591584
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS GATES MD

Provider Business Mailing Address
First Line	:	304 N WATER ST
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17603-3374
Country	:	US
Telephone Number	:	717-299-6371
Fax Number	:	717-945-1587

Provider Business Practice Location Address
First Line	:	802 NEW HOLLAND AVE STE 200
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17602-2288
Country	:	US
Telephone Number	:	717-299-6371
Fax Number	:	717-945-1587

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

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	03/07/2018

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Directions to “ THOMAS GATES MD” Practice Location

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