MEDICARE: SARAH A GIBSON PAC

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	363A00000X	Physician Assistant	MA051182	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	118571	OTHER	PA	AETNA
2	50012708	OTHER	PA	BLUE CROSS
3	210103	OTHER	PA	HEALTHAMERICA/HEALTHASSUR

General Provider Information

NPI Number	:	1821058520
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH A GIBSON PAC

Provider Business Mailing Address
First Line	:	540 N DUKE ST
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17602-2374
Country	:	US
Telephone Number	:	717-544-6111
Fax Number	:	717-544-2625

Provider Business Practice Location Address
First Line	:	540 N DUKE ST
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17602-2374
Country	:	US
Telephone Number	:	717-544-6111
Fax Number	:	717-544-2625

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

Provider Enumeration Date	:	03/25/2006
Last Update Date	:	01/02/2021

Similar Medicare Providers

1760981468 — DANIEL C WIMER PA-C
Practice Location Address:

540 N DUKE ST
LANCASTER, PA
17602-2374

Practice Phone: 717-544-6111
Practice Fax: 717-544-6115

1427049824 — MAULIKKUMAR B PATEL MD
Practice Location Address:

540 N DUKE ST , SUITE 244
LANCASTER, PA
17602-2374

Practice Phone: 717-544-4930
Practice Fax: 717-544-4964

1083697528 — DR. SCOTT PLENSDORF MD
Practice Location Address:

540 NORTH DUKE STREET , 3RD FLOOR
LANCASTER, PA
17602-2374

Practice Phone: 717-786-7383
Practice Fax: 717-786-8635

1629049036 — SHAKEEL AMANULLAH MD
Practice Location Address:

540 N DUKE ST , SUITE 244
LANCASTER, PA
17602-2374

Practice Phone: 717-544-4930
Practice Fax: 717-544-4964

1750346763 — LESETTA WEAVER CRNP
Practice Location Address:

540N DUKE ST 244
LANCASTER, PA
17602-2374

Practice Phone: 717-826-9781
Practice Fax: 717-945-5177

1710935648 — DAVID J BYLER MD
Practice Location Address:

540 N DUKE ST
LANCASTER, PA
17602-2374

Practice Phone: 717-544-6111
Practice Fax:

Directions to “ SARAH A GIBSON PAC” 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.