Individual ProviderKathryn LibertoPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address200 Lothrop St, Pittsburgh, PA 15213-2536(412) 802-6216(724) 831-9639PECOS EnrollmentBased on the most recent information from CMS, provider Kathryn Liberto 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 5 days ago.Profile DetailsProvider ID1063258846Provider TypeIndividualFull NameLiberto, KathrynCredentialPA-CGenderFemaleSole ProprietorYesEnumeration Date7/2/2024Last Updated7/3/2025Contact InformationPractice LocationPractice Address200 Lothrop St, Pittsburgh, PA 15213-2536Phone(412) 802-6216FaxUnlisted FaxMailing LocationMailing Address661 Broadway, Wexford, PA 15090-8449Phone(724) 831-9639FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363AM0700XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseMA065667Pennsylvania