Look up the most recent NPI and PECOS records

Kimberly Pish

Family Medicine

Allopathic & Osteopathic Physicians

1100 Grampian Blvd, Williamsport, PA 17701-1907

PECOS Enrollment

Based on the most recent information from CMS, provider Kimberly Pish is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1821225681
Provider Type
Individual
Full Name
Pish, Kimberly
Credential
DO

Gender
Female
Sole Proprietor
No
Enumeration Date
6/18/2009
Last Updated
6/14/2022

Contact Information

Practice Location

1100 Grampian Blvd, Williamsport, PA 17701-1907

(570) 320-7680

Unlisted Fax

Mailing Location

1201 Grampian Blvd, Williamsport, PA 17701-1900

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License OS015985 Pennsylvania

Kimberly Pish

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Mullarkey, Donna

Little, Gregory S

Susquehanna Physician Services

Dearing, Joshua L

Miller, Jay Kenneth

Redka, James Wilson

Lcdocs Llc

Susquehanna Community Health And Dental Clinic, Inc.

Kirschner, Dana

Pinckney, Steven Brooks Daniels