Provider Demographics
NPI:1578895017
Name:MARKEY, RACHEL BENELLI
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:BENELLI
Last Name:MARKEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 4TH ST
Mailing Address - Street 2:
Mailing Address - City:EAST BERLIN
Mailing Address - State:PA
Mailing Address - Zip Code:17316-9638
Mailing Address - Country:US
Mailing Address - Phone:717-812-4900
Mailing Address - Fax:717-255-0951
Practice Address - Street 1:105 4TH ST
Practice Address - Street 2:
Practice Address - City:EAST BERLIN
Practice Address - State:PA
Practice Address - Zip Code:17316-9638
Practice Address - Country:US
Practice Address - Phone:717-812-4900
Practice Address - Fax:717-255-0951
Is Sole Proprietor?:No
Enumeration Date:2010-02-09
Last Update Date:2021-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125-055124207Q00000X
PAMD443219207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA30152926OtherAMERIHEALTH CARITAS PA - WMG - THFPC
PAP010266OtherGATEWAY
PA2646438OtherHIGHMARK BLUE SHIELD
PA417222OtherUPMC
PA102619268Medicaid
PA30101173OtherAMERIHEALTH MERCY-WMG
PA224448FLTMedicare PIN
PA417222OtherUPMC