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Dylan James Winter

Student in an Organized Health Care Education/Training Program

Student, Health Care

169 Riverside Dr, Binghamton, NY 13905-4198

PECOS Enrollment

This provider is enrolled in PECOS as DYLAN WINTER.

Based on the most recent information from CMS, provider Dylan James Winter 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 10 days ago.

Profile Details

Provider ID
1104569136
Provider Type
Individual
Full Name
Winter, Dylan James
Credential
DO

Gender
Male
Sole Proprietor
No
Enumeration Date
4/18/2022
Last Updated
4/18/2022

Contact Information

Practice Location

169 Riverside Dr, Binghamton, NY 13905-4198

(607) 798-5111

Unlisted Fax

Mailing Location

402 Balsam Dr, New Windsor, NY 12553-4756

(845) 825-7912

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Dylan James Winter

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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