MEDICARE: DR. WYNNE ANN HOFFACKER M.D.

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	MD057567L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	30123009 - CAREEXP.	OTHER	PA	AMERIHEALTH MERCY - WMG
2	30123010 - RDYCARE	OTHER	PA	AMERIHEALTH MERCY - WMG
3	80909	OTHER	PA	UNISON-WMG
4	95759	OTHER	PA	GEISINGER
5	30033	OTHER	PA	JOHNS HOPKINS
6	P002801	OTHER	PA	GATEWAY-WMG
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	238929	OTHER	PA	MAMSI-WMG
9	842830	OTHER	PA	HIGHMARK BLUE SHIELD
10	542991	OTHER	MD	CAREFIRST MD BCBS
11	01059102	OTHER	PA	CAPITAL BLUE CROSS-WMG
12	1142351	OTHER	PA	AMERIHEALTH MERCY-WMG
13	4516556	OTHER	PA	AETNA

General Provider Information

NPI Number	:	1528090321
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WYNNE ANN HOFFACKER M.D.

Provider Business Mailing Address
First Line	:	601 MEMORY LN
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17402-2231
Country	:	US
Telephone Number	:	717-812-4900
Fax Number	:	717-255-0951

Provider Business Practice Location Address
First Line	:	105 4TH ST
Second Line	:
City	:	EAST BERLIN
State	:	PA
Zip	:	17316-9638
Country	:	US
Telephone Number	:	717-846-4644
Fax Number	:	717-259-7262

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

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	03/13/2024

Similar Medicare Providers

1780678656 — MRS. TINA L HAUSNER PHARMD
Practice Location Address:

105 4TH ST
EAST BERLIN, PA
17316-9638

Practice Phone: 717-259-6440
Practice Fax: 717-259-6644

1851329163 — MELISSA JANE GAMMIE PA-C
Practice Location Address:

105 4TH ST
EAST BERLIN, PA
17316-9638

Practice Phone: 717-812-4900
Practice Fax: 717-259-7262

1114956018 — DR. CATHERINE BOOTH HEILMAN M.D.
Practice Location Address:

105 4TH ST # 727
EAST BERLIN, PA
17316-9638

Practice Phone: 717-812-4900
Practice Fax: 717-255-0951

1780614214 — DR. MICHAEL EUGENE BROWN MD
Practice Location Address:

105 4TH ST
EAST BERLIN, PA
17316-9638

Practice Phone: 717-846-4644
Practice Fax: 717-259-7262

1649348525 — WELLSPAN MEDICAL GROUP
Practice Location Address:

105 4TH ST # 727
EAST BERLIN, PA
17316-9638

Practice Phone: 717-812-4900
Practice Fax: 717-255-0951

1578895017 — DR. RACHEL BENELLI MARKEY
Practice Location Address:

105 4TH ST # 727
EAST BERLIN, PA
17316-9638

Practice Phone: 717-812-4900
Practice Fax: 717-255-0951

Directions to “ DR. WYNNE ANN HOFFACKER M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.