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Courtney Matina

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

930 Red Rose Ct Ste 301, Lancaster, PA 17601-1981

PECOS Enrollment

Based on the most recent information from CMS, provider Courtney Matina 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 2 days ago.

Profile Details

Provider ID
1013781848
Provider Type
Individual
Full Name
Matina, Courtney
Credential
CRNP

Gender
Female
Sole Proprietor
No
Enumeration Date
11/13/2023
Last Updated
11/13/2023

Contact Information

Practice Location

930 Red Rose Ct Ste 301, Lancaster, PA 17601-1981

(717) 517-9083

Unlisted Fax

Mailing Location

930 Red Rose Ct, Suite 301, Lancaster, PA 17601

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License SP028673 Pennsylvania

Courtney Matina

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Tolashe, Jumoke Olivia

Ashworth, Ruthanne M

Couch, Kathryn Elizabeth

Olsen, Rebecca Lauren

Zedaker, Cindy L

Antwi, Anna Kwakye

Steinhart, Aaron Jon

Sharma, Archana

Zimmerman, Brandi

Modene, John M