Individual ProviderConrad KrawiecInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address4300 Londonderry Rd, Harrisburg, PA 17109-5317(717) 231-8772PECOS EnrollmentBased on the most recent information from CMS, provider Conrad Krawiec 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 15 days ago.Profile DetailsProvider ID1225201635Provider TypeIndividualFull NameKrawiec, ConradTitleMr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date4/7/2008Last Updated6/25/2019Contact InformationPractice LocationPractice Address4300 Londonderry Rd, Harrisburg, PA 17109-5317Phone(717) 231-8772Fax(717) 231-8435Mailing LocationMailing Address409 S 2nd St, Suite 2f, Harrisburg, PA 17104-1612PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseMD443318PennsylvaniaCode208000000XDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseMD443318PennsylvaniaCode208M00000XDescriptionHospitalistAllopathic & Osteopathic PhysiciansLicenseMD443318PennsylvaniaProvider IdentifiersIDDescriptionIssuerID102642570DescriptionMedicaidIssuerUnlistedPennsylvania