Individual ProviderBenjamin GitterPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3400 Spruce St # 10, Philadelphia, PA 19104-4238(215) 662-3359PECOS EnrollmentBased on the most recent information from CMS, provider Benjamin Gitter 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 5 days ago.Profile DetailsProvider ID1346605979Provider TypeIndividualFull NameGitter, BenjaminGenderMaleSole ProprietorYesEnumeration Date12/26/2015Last Updated7/21/2022Contact InformationPractice LocationPractice Address3400 Spruce St # 10, Philadelphia, PA 19104-4238Phone(215) 662-3359FaxUnlisted FaxMailing LocationMailing Address3400 Spruce St, Founders 10, Philadelphia, PA 19104-4206Phone(215) 662-3359FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363AM0700XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseMA059142PennsylvaniaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer