Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mandy R Fannin, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1972725877

Mandy R Fannin, MD is a Family Practice in Ephrata, Pennsylvania. Qualified in 2006, 20 years ago. Practices with Wellspan Medical Group, a 2,342-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
20
Licensed in
PA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

136 Lake St
Ephrata, PA 17522-2415
Phone: (717) 721-7718
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD436272 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence MT188133 (PA)

Record details

NPI number1972725877
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 2, 2007
Last updated in NPPESJanuary 16, 2025
Certification dateJanuary 13, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Wellspan Medical Group — 2342 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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