Individual ProviderAlfred Konopka BachillerFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address1705 Warren Ave, 303, Williamsport, PA 17701-2665(570) 326-8500(570) 903-0551PECOS EnrollmentBased on the most recent information from CMS, provider Alfred Konopka Bachiller 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 ID1487021127Provider TypeIndividualFull NameBachiller, Alfred KonopkaCredentialD.O.GenderMaleSole ProprietorYesEnumeration Date8/28/2015Last Updated12/20/2018Contact InformationPractice LocationPractice Address1705 Warren Ave, 303, Williamsport, PA 17701-2665Phone(570) 326-8500Fax(570) 326-8049Mailing LocationMailing Address1264 Snyder Ave, Scranton, PA 18504-3186Phone(570) 903-0551FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseOS019620PennsylvaniaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer