Individual ProviderBrian KaderliFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address740 High St Ste 4001, Williamsport, PA 17701-3111(570) 321-2345(570) 326-8723PECOS EnrollmentBased on the most recent information from CMS, provider Brian Kaderli 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 2 days ago.Profile DetailsProvider ID1477992519Provider TypeIndividualFull NameKaderli, BrianTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date6/21/2013Last Updated1/31/2022Contact InformationPractice LocationPractice Address740 High St Ste 4001, Williamsport, PA 17701-3111Phone(570) 321-2345FaxUnlisted FaxMailing LocationMailing Address1201 Grampian Blvd, Williamsport, PA 17701-1900Phone(570) 326-8723FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseMD469539Pennsylvania