Individual ProviderColleen ZakNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1605 Lititz Pike, Lancaster, PA 17601-6507(717) 735-3995PECOS EnrollmentBased on the most recent information from CMS, provider Colleen Zak is legally eligible to order and refer claims for DME and PMD services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1285001586Provider TypeIndividualFull NameZak, ColleenGenderFemaleSole ProprietorNoEnumeration Date8/24/2015Last Updated10/10/2018Contact InformationPractice LocationPractice Address1605 Lititz Pike, Lancaster, PA 17601-6507Phone(717) 735-3995FaxUnlisted FaxMailing LocationMailing Address1605 Lititz Pike, Lancaster, PA 17601-6507Phone(717) 735-3995FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseSP015198Pennsylvania