Individual ProviderThomas ChayapruksRadiologyAllopathic & Osteopathic PhysiciansPractice Address100 N Academy Ave, Danville, PA 17822-9800(570) 271-6301(570) 271-6144PECOS EnrollmentBased on the most recent information from CMS, provider Thomas Chayapruks 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 3 days ago.Profile DetailsProvider ID1871617399Provider TypeIndividualFull NameChayapruks, ThomasCredentialMDGenderMaleSole ProprietorNoEnumeration Date3/19/2007Last Updated1/27/2022Contact InformationPractice LocationPractice Address100 N Academy Ave, Danville, PA 17822-9800Phone(570) 271-6301Fax(570) 271-5976Mailing LocationMailing Address100 N Academy Ave, Danville, PA 17822-4903Phone(570) 271-6144Fax(570) 271-6578Provider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicenseMD428692PennsylvaniaCode2085N0904XDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicenseMD428692PennsylvaniaProvider IdentifiersIDDescriptionIssuerIDMD428692DescriptionOtherIssuerMEDICAL LICENSEPennsylvania