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Charles Richard Eckman

Internal Medicine

Allopathic & Osteopathic Physicians

4300 Londonderry Rd, Harrisburg, PA 17109-5317

PECOS Enrollment

This provider is enrolled in PECOS as CHARLES ECKMAN.

Based on the most recent information from CMS, provider Charles Richard Eckman 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 15 days ago.

Profile Details

Provider ID
1134433220
Provider Type
Individual
Full Name
Eckman, Charles Richard
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
7/30/2010
Last Updated
1/18/2018

Contact Information

Practice Location

4300 Londonderry Rd, Harrisburg, PA 17109-5317

(717) 231-8772

(717) 231-8435

Mailing Location

409 S 2nd St, Suite 2f, Harrisburg, PA 17104-1612

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License MD446394 Pennsylvania

Provider Identifiers

ID	Description	Issuer
ID 102760330	Description Medicaid	Issuer Unlisted Pennsylvania

Charles Richard Eckman

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Cheriyath, Pramil

Kim, Sehee V

Cruz, James B

Moody, Jack Holland

Davies, Mary C

Doody, Alyssa

Kamdar, Mansi Rajiv

Guragain, Manish

Bhandari, Binita

Barasch, Aaron Charles