Individual ProviderF Coleman FunkFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address949 Westminster Dr, Williamsport, PA 17701-3909(570) 326-8261(570) 837-2123PECOS EnrollmentBased on the most recent information from CMS, provider F Coleman Funk 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 ID1548261126Provider TypeIndividualFull NameFunk, F ColemanCredentialMDGenderMaleSole ProprietorYesEnumeration Date8/9/2005Last Updated11/1/2010Contact InformationPractice LocationPractice Address949 Westminster Dr, Williamsport, PA 17701-3909Phone(570) 326-8261Fax(570) 322-6558Mailing LocationMailing Address7 Dock Hill Rd, Middleburg, PA 17842-8910Phone(570) 837-2123Fax(570) 837-2185Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseMD013806EPennsylvaniaProvider IdentifiersIDDescriptionIssuerID001079838DescriptionMedicaidIssuerUnlistedPennsylvania