Provider Demographics
NPI:1750320560
Name:MENCL, FRANCIS R (MD)
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:R
Last Name:MENCL
Suffix:
Gender:M
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:PO BOX 858
Mailing Address - Street 2:MC A410
Mailing Address - City:HERSHEY
Mailing Address - State:PA
Mailing Address - Zip Code:17033-0858
Mailing Address - Country:US
Mailing Address - Phone:800-243-1455
Mailing Address - Fax:
Practice Address - Street 1:500 UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-2360
Practice Address - Country:US
Practice Address - Phone:800-243-1455
Practice Address - Fax:717-531-4587
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2020-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35062004207P00000X
PAMD469591207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH930023439OtherRR MEDICARE
OH000000138510OtherANTHEM
OH341779226002OtherMED MUT OF OH/ 1 OF 2
OH0849452Medicaid
OH61641OtherUNITED HEALTHCARE
OH340714755XXOtherSUMMACARE
OH341779226003OtherMED MUT OF OH/ 2 OF 2
OHF13567Medicare UPIN
OH61641OtherUNITED HEALTHCARE
OH0774522Medicare ID - Type Unspecified2 OF 2