Individual ProviderZachary LichterPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3400 Spruce Street, Ground Silverstein Bldg, Philadelphia, PA 19104-4206(215) 662-6698PECOS EnrollmentBased on the most recent information from CMS, provider Zachary Lichter is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 11:06 AM.Profile DetailsProvider ID1639857147Provider TypeIndividualFull NameLichter, ZacharyCredentialPA-CGenderMaleSole ProprietorNoEnumeration Date7/6/2023Last Updated11/19/2025Contact InformationPractice LocationPractice Address3400 Spruce Street, Ground Silverstein Bldg, Philadelphia, PA 19104-4206Phone(215) 662-6698Fax(215) 662-3953Mailing LocationMailing Address3400 Spruce Street, Philadelphia, PA 19104-4206Phone(215) 662-6698Fax(215) 662-3953Provider TaxonomiesCodeDescriptionLicenseCode363AM0700XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseMA066094Pennsylvania