Individual ProviderJohn KrallSocial WorkerBehavioral Health & Social Service ProvidersPractice Address21 Park Ave, Media, PA 19063-4942(510) 307-6194PECOS EnrollmentBased on the most recent information from CMS, provider John Krall is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1467216671Provider TypeIndividualFull NameKrall, JohnCredentialLCSWGenderMaleSole ProprietorNoEnumeration Date2/8/2024Last Updated2/8/2024Contact InformationPractice LocationPractice Address21 Park Ave, Media, PA 19063-4942Phone(510) 307-6194FaxUnlisted FaxMailing LocationMailing Address21 Park Ave, Media, PA 19063-4942Phone(510) 307-6194FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseCW016581Pennsylvania