Individual ProviderLei DuInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address4300 Londonderry Rd, Harrisburg, PA 17109-5317(717) 231-8772PECOS EnrollmentBased on the most recent information from CMS, provider Lei Du 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 15 days ago.Profile DetailsProvider ID1790100659Provider TypeIndividualFull NameDu, LeiTitleDr.CredentialMDGenderFemaleSole ProprietorNoEnumeration Date2/28/2014Last Updated12/12/2020Contact InformationPractice LocationPractice Address4300 Londonderry Rd, Harrisburg, PA 17109-5317Phone(717) 231-8772Fax(717) 231-8435Mailing LocationMailing Address409 S 2nd St, Suite 2f, Harrisburg, PA 17104-1612Phone(717) 231-8772Fax(717) 231-8435Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseMD453256PennsylvaniaCode208M00000XDescriptionHospitalistAllopathic & Osteopathic PhysiciansLicenseMD453256PennsylvaniaProvider IdentifiersIDDescriptionIssuerID103024205DescriptionMedicaidIssuerUnlistedPennsylvania