Individual ProviderPhilip LimRadiologyAllopathic & Osteopathic PhysiciansPractice Address100 N Academy Ave, Danville, PA 17822-3720(570) 271-6301PECOS EnrollmentBased on the most recent information from CMS, provider Philip Lim 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 34 days ago.Profile DetailsProvider ID1144218702Provider TypeIndividualFull NameLim, PhilipTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date10/7/2005Last Updated8/13/2025Contact InformationPractice LocationPractice Address100 N Academy Ave, Danville, PA 17822-3720Phone(570) 271-6301Fax(570) 271-5976Mailing LocationMailing Address100 N Academy Ave, Danville, PA 17822-4903Phone(570) 271-6301Fax(570) 271-5976Provider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicenseMD068822LPennsylvaniaProvider IdentifiersIDDescriptionIssuerID0017891080002DescriptionMedicaidIssuerUnlistedPennsylvania