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Sothea Peter Saing

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

2112 Harrisburg Pike Ste 202, Lancaster, PA 17601

PECOS Enrollment

This provider is enrolled in PECOS as SOTHEA SAING.

Based on the most recent information from CMS, provider Sothea Peter Saing 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
1225420482
Provider Type
Individual
Full Name
Saing, Sothea Peter
Title
Mr.
Credential
NP-C

Gender
Male
Sole Proprietor
No
Enumeration Date
2/25/2015
Last Updated
9/26/2019

Contact Information

Practice Location

2112 Harrisburg Pike Ste 202, Lancaster, PA 17601

(717) 869-4600

(717) 544-3501

Mailing Location

2112 Harrisburg Pike Ste 202, Lancaster, PA 17601-2644

(717) 869-4600

(717) 544-3501

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License SP018152 Pennsylvania
Code 363LF0000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 19176 South Carolina

Provider Identifiers

ID	Description	Issuer
ID 1034843400002	Description Medicaid	Issuer Unlisted Pennsylvania
ID SP018152	Description Other	Issuer CRNP LICENSE Pennsylvania
ID 1034843400001	Description Medicaid	Issuer Unlisted Pennsylvania
ID 635617KKU	Description Other	Issuer MEDICARE Pennsylvania

Sothea Peter Saing

PECOS Enrollment

Profile Details

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