Individual ProviderAdam EdelsteinRadiologyAllopathic & Osteopathic PhysiciansPractice Address100 N Academy Ave, Danville, PA 17822-2007(570) 271-6301(570) 271-6144PECOS EnrollmentBased on the most recent information from CMS, provider Adam Edelstein 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 3 days ago.Profile DetailsProvider ID1124246327Provider TypeIndividualFull NameEdelstein, AdamTitleDr.CredentialDOGenderMaleSole ProprietorNoEnumeration Date4/23/2007Last Updated11/10/2016Contact InformationPractice LocationPractice Address100 N Academy Ave, Danville, PA 17822-2007Phone(570) 271-6301Fax(570) 271-5976Mailing LocationMailing Address100 N Academy Ave, Danville, PA 17822-4903Phone(570) 271-6144Fax(570) 271-6578Provider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicenseOS015801PennsylvaniaCode2085R0202XDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicense5101016855MichiganProvider IdentifiersIDDescriptionIssuerID1026952230002DescriptionMedicaidIssuerUnlistedPennsylvania