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 15 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