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Shirley J Bushong

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

3045 Marietta Ave, Lancaster, PA 17601-1321

PECOS Enrollment

This provider is enrolled in PECOS as SHIRLEY BUSHONG.

Based on the most recent information from CMS, provider Shirley J Bushong 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
1942634050
Provider Type
Individual
Full Name
Bushong, Shirley J
Credential
CRNP

Gender
Female
Sole Proprietor
No
Enumeration Date
8/26/2013
Last Updated
8/28/2013

Contact Information

Practice Location

3045 Marietta Ave, Lancaster, PA 17601-1321

(717) 898-2900

(717) 898-3275

Mailing Location

3045 Marietta Ave, Lancaster, PA 17601-1321

(717) 898-2900

(717) 898-3275

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License SP013128 Pennsylvania

Shirley J Bushong

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Bernhardt, Barbara

Gola, Lori K

Kristich, Caitlyn Elizabeth

Derose, Alexandria

Soltis, Tanya Lee

Miller, Karen R

Perch, Caitlin B

Osmolinski, Brenna K

Reeher, Emily Jean

Hughes, Katherine P