Individual ProviderDeborah ShellenbergerPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3400 Spruce St, 6 Penn Tower, Philadelphia, PA 19104-4206(215) 615-0800PECOS EnrollmentBased on the most recent information from CMS, provider Deborah Shellenberger is legally eligible to order and refer claims for DME and PMD services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1619076163Provider TypeIndividualFull NameShellenberger, DeborahCredentialPA-CGenderFemaleSole ProprietorNoEnumeration Date9/21/2006Last Updated3/30/2017Contact InformationPractice LocationPractice Address3400 Spruce St, 6 Penn Tower, Philadelphia, PA 19104-4206Phone(215) 615-0800FaxUnlisted FaxMailing LocationMailing Address3400 Spruce St, 6 Penn Tower, Philadelphia, PA 19104-4206PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363AM0700XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseMA051195PennsylvaniaCode363A00000XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense25MP00125400New Jersey