OrganizationKenneth R Durrwachter Md PcFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address1705 Warren Ave, Suite 208, Williamsport, PA 17701-2647(570) 601-6230PECOS EnrollmentBased on the most recent information from CMS, provider Kenneth R Durrwachter Md Pc 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 ID1275586281Provider TypeOrganizationFull NameKenneth R Durrwachter Md PcSubpartNoEnumeration Date5/19/2006Last Updated1/13/2010Contact InformationPractice LocationPractice Address1705 Warren Ave, Suite 208, Williamsport, PA 17701-2647Phone(570) 601-6230Fax(570) 601-6232Mailing LocationMailing Address1705 Warren Ave, Suite 208, Williamsport, PA 17701-2647PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameDurrwachter, Kenneth R (Owner)Phone(570) 601-6230Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseMD045039LPennsylvaniaProvider IdentifiersIDDescriptionIssuerID1016212250001DescriptionMedicaidIssuerUnlistedPennsylvaniaIDC253DescriptionOtherIssuerGEISINGER HEALTH PLANPennsylvaniaID1849658DescriptionOtherIssuerHIGHMARK BLUE SHIELDPennsylvaniaID222566DescriptionOtherIssuerFIRST PRIORITY HEALTHPennsylvania