MEDICARE: ADAM IRA WASSERMAN 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	207P00000X	Emergency Medicine Physician	MD042602L	PA
2	207Q00000X	Family Medicine Physician	BW2398546	PA
3	207Q00000X	Family Medicine Physician	MD-042602L	PA
4	208M00000X	Hospitalist Physician	BW2398546	PA
5	208M00000X	Hospitalist Physician	MD042602L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	207323	OTHER	PA	JOHNS HOPKINS
2	241001	OTHER	PA	UNISON-WMG
3	38232	OTHER	PA	GEISINGER HEALTH PLAN
4	4263205	OTHER	PA	AETNA
5	20075817	OTHER	PA	AMERIHEALTH MERCY-WMG
6	631146	OTHER	PA	HIGHMARK BLUE SHIELD
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	1529688	OTHER	PA	GATEWAY-WMG
9	50078244	OTHER	PA	CAPITAL BLUE CROSS-WMG
10	932162	OTHER	MD	CAREFIRST MD BCBS

General Provider Information

NPI Number	:	1841290962
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADAM IRA WASSERMAN MD

Provider Business Mailing Address
First Line	:	300 HIGHLAND AVE
Second Line	:
City	:	HANOVER
State	:	PA
Zip	:	17331-2297
Country	:	US
Telephone Number	:	717-316-3711
Fax Number	:

Provider Business Practice Location Address
First Line	:	524 S WASHINGTON ST
Second Line	:
City	:	GETTYSBURG
State	:	PA
Zip	:	17325-2594
Country	:	US
Telephone Number	:	717-334-2183
Fax Number	:	717-334-5246

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

Provider Enumeration Date	:	07/29/2005
Last Update Date	:	09/26/2024

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