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Shelly Respecki

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

120 E Second St 3rd Floor, Erie, PA 16507-1578

PECOS Enrollment

Based on the most recent information from CMS, provider Shelly Respecki is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1174920193
Provider Type
Individual
Full Name
Respecki, Shelly
Gender
Female

Sole Proprietor
No
Enumeration Date
11/20/2014
Last Updated
5/24/2021

Contact Information

Practice Location

120 E Second St 3rd Floor, Erie, PA 16507-1578

(814) 877-8000

Unlisted Fax

Mailing Location

120 E Second St 3rd Floor, Erie, PA 16507-1578

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License MA057353 Pennsylvania

Shelly Respecki

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Kies, Shelby Lynn

Francis, Ryan

Jenkins, Samantha

Niemi, Marissa L

Skindell, Julie

Halilovic, Arijana

Nee, Margaret Rose

Lippert, Micaela M

Vakufac, Emina

Diplacido, Corinne E