Individual ProviderGregory HalendaSpecialistOther Service ProvidersPractice Address2580 Haymaker Rd, Ste 401, Monroeville, PA 15146-3500(412) 372-6330PECOS EnrollmentBased on the most recent information from CMS, provider Gregory Halenda 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 2 days ago.Profile DetailsProvider ID1053316000Provider TypeIndividualFull NameHalenda, GregoryTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date6/16/2005Last Updated3/25/2019Contact InformationPractice LocationPractice Address2580 Haymaker Rd, Ste 401, Monroeville, PA 15146-3500Phone(412) 372-6330Fax(412) 372-3319Mailing LocationMailing Address2790 Mosside Blvd, Ste G110, Monroeville, PA 15146-2766Phone(412) 372-6330Fax(412) 372-3319Provider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicenseMD033880EPennsylvaniaProvider IdentifiersIDDescriptionIssuerID251219366DescriptionOtherIssuerFEDERAL TAX ID#Pennsylvania