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Allison S. Gonta

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

2110 Harrisburg Pike Ste 100, Lancaster, PA 17601-2644

PECOS Enrollment

This provider is enrolled in PECOS as ALLISON GONTA.

Based on the most recent information from CMS, provider Allison S. Gonta is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1417132028
Provider Type
Individual
Full Name
Gonta, Allison S.
Credential
CRNP

Gender
Female
Sole Proprietor
No
Enumeration Date
1/2/2008
Last Updated
11/5/2018

Contact Information

Practice Location

2110 Harrisburg Pike Ste 100, Lancaster, PA 17601-2644

(717) 544-3191

(717) 544-3637

Mailing Location

2112 Harrisburg Pike, Suite 202, Lancaster, PA 17601-2644

(717) 544-3500

(717) 544-3501

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License SP011565 Pennsylvania

Allison S. Gonta

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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