Individual ProviderAmanda LanterPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address475 Seaview Ave, Staten Island, NY 10305-3436(718) 226-9000(646) 338-7916PECOS EnrollmentBased on the most recent information from CMS, provider Amanda Lanter is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1023525664Provider TypeIndividualFull NameLanter, AmandaCredentialPA-CGenderFemaleSole ProprietorNoEnumeration Date1/4/2018Last Updated1/16/2018Contact InformationPractice LocationPractice Address475 Seaview Ave, Staten Island, NY 10305-3436Phone(718) 226-9000FaxUnlisted FaxMailing LocationMailing Address475 Seaview Ave, Staten Island, NY 10305-3436Phone(646) 338-7916FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted Issuer