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Kurt Daniel Palumbo

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

3400 Spruce St # 5023, Philadelphia, PA 19104-4238

PECOS Enrollment

This provider is enrolled in PECOS as KURT PALUMBO.

Based on the most recent information from CMS, provider Kurt Daniel Palumbo 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 5 days ago.

Profile Details

Provider ID
1104378660
Provider Type
Individual
Full Name
Palumbo, Kurt Daniel
Credential
PA

Gender
Male
Sole Proprietor
No
Enumeration Date
11/1/2016
Last Updated
7/21/2022

Contact Information

Practice Location

3400 Spruce St # 5023, Philadelphia, PA 19104-4238

(215) 614-0837

Unlisted Fax

Mailing Location

3400 Spruce St, Gates 5023, Philadelphia, PA 19104-4026

(215) 614-0837

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License MA058993 Pennsylvania
Code 363AM0700X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 020180 New York

Kurt Daniel Palumbo

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Lopez, Leah M

Haimes, Lauren Elizabeth

Shah, Jaimin J

Kratz, Kathleen M

Monterrosa, Christina

Jacob, Anshu

Ali, Aasima

Thrippleton, Sheri Lea

Meehan, Debra A.

Jacob, Nancy Anne