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Alicia Bonsall

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

1507 Lititz Pike, Lancaster, PA 17601-6505

PECOS Enrollment

Based on the most recent information from CMS, provider Alicia Bonsall 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
1164956587
Provider Type
Individual
Full Name
Bonsall, Alicia
Credential
CRNP

Gender
Female
Sole Proprietor
No
Enumeration Date
4/12/2017
Last Updated
1/18/2019

Contact Information

Practice Location

1507 Lititz Pike, Lancaster, PA 17601-6505

(717) 397-0369

Unlisted Fax

Mailing Location

1507 Lititz Pike, Lancaster, PA 17601-6505

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License SP017325 Pennsylvania

Alicia Bonsall

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Steinhart, Aaron Jon

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Brooks, Charles D

Daniels, Lisa

Stambaugh, Alexis Olivia

Reeher, Emily Jean

Mcginnis, Jessica

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Fedora, Lisa Ann