OrganizationSamuel E Schrack, D.O., P.C.Family MedicineAllopathic & Osteopathic PhysiciansPractice Address520 W 4th St, Suite 1a, Williamsport, PA 17701-6038(570) 327-9110PECOS EnrollmentBased on the most recent information from CMS, provider Samuel E Schrack, D.O., P.C. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1174587570Provider TypeOrganizationFull NameSamuel E Schrack, D.O., P.C.SubpartNoEnumeration Date4/13/2006Last Updated11/24/2009Contact InformationPractice LocationPractice Address520 W 4th St, Suite 1a, Williamsport, PA 17701-6038Phone(570) 327-9110Fax(570) 327-1181Mailing LocationMailing Address520 W 4th St, Suite 1a, Williamsport, PA 17701-6038Phone(570) 327-9110Fax(570) 327-1181Authorized OfficialNameMiller, Lisa R (Office Manager)Phone(570) 327-9110Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID0019492200004DescriptionMedicaidIssuerUnlistedPennsylvania