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Chrisanne Hennicke

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

200 Lothrop St, Pittsburgh, PA 15213-2536

PECOS Enrollment

Based on the most recent information from CMS, provider Chrisanne Hennicke 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
1518004357
Provider Type
Individual
Full Name
Hennicke, Chrisanne
Credential
PA-C

Gender
Female
Sole Proprietor
Yes
Enumeration Date
1/31/2007
Last Updated
7/8/2007

Contact Information

Practice Location

200 Lothrop St, Pittsburgh, PA 15213-2536

(412) 647-3685

Unlisted Fax

Mailing Location

115 Helena St, Elizabeth, PA 15037-2440

(412) 896-1423

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License MA-002764-L Pennsylvania

Chrisanne Hennicke

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Petrosky, Angela Lynn

Lee, Heather Nicole

Neemes, Shannon

Christy, Madalyn Adele

Prout, Emilie Vanderslice

Brophy, Amanda A

Guerriero, Emily

Shin, Louisa Urgo

Danko, Emily

Hempelmann, Jennifer