Provider Demographics
NPI:1598846701
Name:KAUFMAN, JILL RAE (MD)
Entity Type:Individual
Prefix:DR
First Name:JILL
Middle Name:RAE
Last Name:KAUFMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:785 5TH AVENUE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-4232
Mailing Address - Country:US
Mailing Address - Phone:717-263-9555
Mailing Address - Fax:717-217-4217
Practice Address - Street 1:112 NORTH SEVENTH STREET
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201
Practice Address - Country:US
Practice Address - Phone:717-267-3000
Practice Address - Fax:717-217-4217
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME80257207L00000X
PAMD433468207LP2900X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAG920-0078/85XWCUOtherCAREFIRST
FL050088870OtherRAILROAD MEDICARE
PA050514OtherMEDICARE GROUP #
PA25-1716306OtherFIRST HEALTH
PA25-1716306OtherINTERGROUP
PAKA2011652OtherHIGHMARK BLUE SHIELD
PAMD433468OtherMEDICAL LICENSE
PAPEARLOtherHEALTH AMERICA
PA1569287OtherGATEWAY
PA25-1716306OtherDEVON
PA50077192OtherCAPITAL BLUECROSS
PA7996547OtherAETNA NON-HMO
PAP00458416OtherRAILROAD MEDICARE
PA1835259OtherAETNA HMO
PA25-1716306OtherSOUTH CENTRAL PREFERRED
PA102091286 0001Medicaid
PA120420418OtherDEPT OF LABOR
PA2183091OtherMAMSI
PA240951OtherUNISON
PA25-1716306OtherINFORMED
PA25-1716306OtherHEALTHNET/TRICARE
PA25-1716306OtherMULTIPLAN/PHCS
FL58773OtherBLUE CROSS BLUE SHIELD
FL58773OtherBLUE CROSS BLUE SHIELD
PAP00458416OtherRAILROAD MEDICARE
PA1569287OtherGATEWAY
BF1155313OtherDEA