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Kevin Matthew Nowakowski

Internal Medicine

Allopathic & Osteopathic Physicians

4300 Londonderry Rd, Harrisburg, PA 17109-5317

PECOS Enrollment

This provider is enrolled in PECOS as KEVIN NOWAKOWSKI.

Based on the most recent information from CMS, provider Kevin Matthew Nowakowski 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 15 days ago.

Profile Details

Provider ID
1538780515
Provider Type
Individual
Full Name
Nowakowski, Kevin Matthew
Credential
DO

Gender
Male
Sole Proprietor
No
Enumeration Date
5/1/2020
Last Updated
6/26/2023

Contact Information

Practice Location

4300 Londonderry Rd, Harrisburg, PA 17109-5317

(717) 652-3000

Unlisted Fax

Mailing Location

4300 Londonderry Rd, Harrisburg, PA 17109-5317

(717) 652-3000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License OS022359 Pennsylvania
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License OT019834 Pennsylvania

Kevin Matthew Nowakowski

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Bruening, Stephen

Jeffrey J Backenstoes Do Pc

Bronstein, David

David Bronstein Do Richard H Jeffries Do Professional Assoc

Guragain, Manish

Mann, Lorene Ruth

Pinnacle Health Medical Services

Kim, Sehee V

Boshnakov, Sevdalina Vangelova

Doody, Alyssa