Individual ProviderMelissa KenigFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address3998 Red Lion Rd, Philadelphia, PA 19114-1436(215) 612-2691PECOS EnrollmentBased on the most recent information from CMS, provider Melissa Kenig 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 2 days ago.Profile DetailsProvider ID1770711640Provider TypeIndividualFull NameKenig, MelissaCredentialD.O.GenderFemaleSole ProprietorNoEnumeration Date6/30/2009Last Updated6/30/2009Contact InformationPractice LocationPractice Address3998 Red Lion Rd, Philadelphia, PA 19114-1436Phone(215) 612-2691FaxUnlisted FaxMailing LocationMailing Address170 Marc Ln, Huntingdon Valley, PA 19006-3103PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseOT012877Pennsylvania