Individual ProviderJames Wilson RedkaFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address1205 River Ave, 2nd Floor, Williamsport, PA 17701-3724(570) 326-4118(570) 837-2123PECOS EnrollmentBased on the most recent information from CMS, provider James Wilson Redka 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 ID1548240773Provider TypeIndividualFull NameRedka, James WilsonCredentialM.D.GenderMaleSole ProprietorYesEnumeration Date1/23/2006Last Updated12/23/2015Contact InformationPractice LocationPractice Address1205 River Ave, 2nd Floor, Williamsport, PA 17701-3724Phone(570) 326-4118Fax(570) 326-5533Mailing LocationMailing Address7 Dock Hill Rd, Middleburg, PA 17842-8910Phone(570) 837-2123Fax(570) 837-2185Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseMD019269EPennsylvaniaProvider IdentifiersIDDescriptionIssuerID0006326330001DescriptionMedicaidIssuerUnlistedPennsylvania