OrganizationGeisinger ClinicFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address824 E Third Street, Williamsport, PA 17701-5856(570) 601-2200(570) 271-5555PECOS EnrollmentBased on the most recent information from CMS, provider Geisinger Clinic 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 ID1376979534Provider TypeOrganizationFull NameGeisinger ClinicSubpartNoEnumeration Date9/19/2013Last Updated4/9/2020Contact InformationPractice LocationPractice Address824 E Third Street, Williamsport, PA 17701-5856Phone(570) 601-2200Fax(570) 601-2202Mailing LocationMailing Address100 N Academy Ave, Danville, PA 17822-4903Phone(570) 271-5555FaxUnlisted FaxAuthorized OfficialNameMull, Cindy L (System Director Enrollments)Phone(570) 271-6603Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode363A00000XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted IssuerCode363L00000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted Issuer