Look up the most recent NPI and PECOS records

Richard Haley Jeffries

Internal Medicine

Allopathic & Osteopathic Physicians

4830 Londonderry Rd, Harrisburg, PA 17109-5207

PECOS Enrollment

This provider is enrolled in PECOS as RICHARD JEFFRIES.

Based on the most recent information from CMS, provider Richard Haley Jeffries is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 15 days ago.

Profile Details

Provider ID
1003849902
Provider Type
Individual
Full Name
Jeffries, Richard Haley
Credential
DO

Gender
Male
Sole Proprietor
Yes
Enumeration Date
7/7/2006
Last Updated
2/2/2016

Contact Information

Practice Location

4830 Londonderry Rd, Harrisburg, PA 17109-5207

(717) 657-2595

(717) 657-3091

Mailing Location

7 Dock Hill Rd, Middleburg, PA 17842-8910

(570) 837-2123

(570) 837-2185

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License OS002605L Pennsylvania

Provider Identifiers

ID	Description	Issuer
ID 0007160810001	Description Medicaid	Issuer Unlisted Pennsylvania

Richard Haley Jeffries

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Bruening, Stephen

Waughtel, Jessica

David Bronstein Do Richard H Jeffries Do Professional Assoc

Brown, Michelle Xchail

Ward, Jessica Ann

Bhandari, Binita

Rastogi, Nita

Nowakowski, Kevin Matthew

Prats, Andrea

Mann, Lorene Ruth