OrganizationJeffrey J Backenstoes Do Pc(<Unavail>)Internal MedicineAllopathic & Osteopathic PhysiciansPractice Address4807 Jonestown Rd Ste 141, Harrisburg, PA 17109-1744(717) 695-6177PECOS EnrollmentBased on the most recent information from CMS, provider Jeffrey J Backenstoes Do Pc 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 4 days ago.Profile DetailsProvider ID1598883332Provider TypeOrganizationFull NameJeffrey J Backenstoes Do PcOther Name<Unavail>SubpartNoEnumeration Date3/27/2007Last Updated4/24/2018Contact InformationPractice LocationPractice Address4807 Jonestown Rd Ste 141, Harrisburg, PA 17109-1744Phone(717) 695-6177Fax(717) 695-4369Mailing LocationMailing Address4807 Jonestown Rd Ste 141, Harrisburg, PA 17109-1744Phone(717) 695-6177Fax(717) 695-4369Authorized OfficialNameBackenstoes, Kim Marie (Practice Administrator)Phone(717) 695-6177Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseOS-008959-LPennsylvania