Individual ProviderRosemary WiegandFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address1100 Grampian Blvd, Williamsport, PA 17701-1907(570) 320-7680PECOS EnrollmentBased on the most recent information from CMS, provider Rosemary Wiegand 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 2 days ago.Profile DetailsProvider ID1245239870Provider TypeIndividualFull NameWiegand, RosemaryGenderFemaleSole ProprietorNoEnumeration Date7/15/2005Last Updated4/3/2024Contact InformationPractice LocationPractice Address1100 Grampian Blvd, Williamsport, PA 17701-1907Phone(570) 320-7680FaxUnlisted FaxMailing LocationMailing Address1201 Grampian Blvd, Williamsport, PA 17701-1900PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseMD061296LPennsylvania