Look up the most recent NPI and PECOS records

Matthew David Hermann

Radiology

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as MATTHEW HERMANN.

Based on the most recent information from CMS, provider Matthew David Hermann 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 3 days ago.

Profile Details

Provider ID
1477990521
Provider Type
Individual
Full Name
Hermann, Matthew David
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
5/30/2013
Last Updated
11/18/2024

Contact Information

Practice Location

100 N Academy Ave, Danville, PA 17822

(570) 271-6144

(570) 271-6578

Mailing Location

100 N Academy Ave, Danville, PA 17822-4903

(570) 271-6144

(570) 271-6578

Provider Taxonomies

Code	Description	License
Code 2085R0202X Primary	Description Radiology Allopathic & Osteopathic Physicians	License MD468684 Pennsylvania
Code 2085R0202X	Description Radiology Allopathic & Osteopathic Physicians	License 5315064924 Michigan
Code 2085R0202X	Description Radiology Allopathic & Osteopathic Physicians	License 18963 New Hampshire
Code 2085R0202X	Description Radiology Allopathic & Osteopathic Physicians	License 25MA11305000 New Jersey
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer Virginia

Matthew David Hermann

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

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Description

License

Code

Description

License

Code

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License

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Bokhari, Maria Rizwan

Jubang, Michael Jeremy

Nevers, Thomas

Murphy, Timothy J.

Go, Bernard-Dennis M.

Iqbal, Arbab

Edelstein, Adam