Basic Information
| Provider Information | |||||||||
| NPI: | 1528098605 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | POUND | ||||||||
| FirstName: | REBECCA | ||||||||
| MiddleName: | LYNNE | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 785 5TH AVENUE | ||||||||
| Address2: | SUITE 3 | ||||||||
| City: | CHAMBERSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 172014232 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7172639555 | ||||||||
| FaxNumber: | 7172174217 | ||||||||
| Practice Location | |||||||||
| Address1: | 50 EASTERN AVE STE 144 | ||||||||
| Address2: | |||||||||
| City: | GREENCASTLE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 172251100 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7175975553 | ||||||||
| FaxNumber: | 7175975522 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/04/2006 | ||||||||
| LastUpdateDate: | 12/20/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | MD420031 | PA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 1007307260034 | 01 | PA | MEDICAID GROUP # | OTHER | 25-1716306 | 01 | PA | DEVON | OTHER | 867633 | 01 | PA | MEDICARE GROUP # | OTHER | 25-1716306 | 01 | PA | FIRST HEALTH | OTHER | G920-0104/KDM4CU | 01 | PA | CAREFIRST | OTHER | P00708099 | 01 | PA | RAILROAD MEDICARE | OTHER | 2042578 | 01 | PA | HIGHMARK BLUESHIELD | OTHER | 25-1716306 | 01 | PA | HEALTHNET/TRICARE | OTHER | 1528098605 | 01 | PA | HEALTH AMERICA | OTHER | 25-1716306 | 01 | PA | INTERGROUP | OTHER | 25-1716306 | 01 | PA | GREATWEST HEALTHCARE | OTHER | BP8170893 | 01 | PA | DEA | OTHER | 1021996820001 | 05 | PA | MEDICAID | 2187079 | 01 | PA | MAMSI | OTHER | 25-1716306 | 01 | PA | SOUTH CENTRAL PREFERRED | OTHER | MD420031 | 01 | PA | MEDICAL LICENSE | OTHER | 120420420 | 01 | PA | DEPT OF LABOR | OTHER | 50081990 | 01 | PA | CAPITAL BLUECROSS | OTHER | 25-1716306 | 01 | PA | MULTIPLAN/PHCS | OTHER | 7270718 | 01 | PA | AETNA NON-HMO | OTHER | 1943911 | 01 | PA | AETNA HMO | OTHER | 25-1716306 | 01 | PA | INFORMED | OTHER |