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Alyssa Elizabeth Heinrich

Family Medicine

Allopathic & Osteopathic Physicians

700 High St, Williamsport, PA 17701-3100

PECOS Enrollment

This provider is enrolled in PECOS as ALYSSA HEINRICH.

Based on the most recent information from CMS, provider Alyssa Elizabeth Heinrich 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 2 days ago.

Profile Details

Provider ID
1134616576
Provider Type
Individual
Full Name
Heinrich, Alyssa Elizabeth
Title
Dr.
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
4/20/2018
Last Updated
4/9/2025

Contact Information

Practice Location

700 High St, Williamsport, PA 17701-3100

(570) 321-2850

Unlisted Fax

Mailing Location

1201 Grampian Blvd, Williamsport, PA 17701-1900

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License MD484914 Pennsylvania
Code 207QS0010X	Description Family Medicine Allopathic & Osteopathic Physicians	License MD484914 Pennsylvania
Code 207QS0010X	Description Family Medicine Allopathic & Osteopathic Physicians	License ME157872 Florida

Alyssa Elizabeth Heinrich

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

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