Individual ProviderJustyna BartInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address4300 Londonderry Rd, Harrisburg, PA 17109-5317(717) 231-8772PECOS EnrollmentBased on the most recent information from CMS, provider Justyna Bart 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 ID1932461332Provider TypeIndividualFull NameBart, JustynaTitleDr.CredentialMDGenderFemaleSole ProprietorNoEnumeration Date6/12/2012Last Updated1/16/2021Contact InformationPractice LocationPractice Address4300 Londonderry Rd, Harrisburg, PA 17109-5317Phone(717) 231-8772Fax(717) 231-8435Mailing LocationMailing Address4300 Londonderry Rd, Harrisburg, PA 17109-5317PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseMD455175PennsylvaniaProvider IdentifiersIDDescriptionIssuerID103050027DescriptionMedicaidIssuerUnlistedPennsylvania