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Adam Vanlieshout

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

300 Halket St Ste 1731, Suite 1731, Pittsburgh, PA 15213-3108

PECOS Enrollment

Based on the most recent information from CMS, provider Adam Vanlieshout 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
1972969053
Provider Type
Individual
Full Name
Vanlieshout, Adam
Gender
Male

Sole Proprietor
No
Enumeration Date
1/5/2016
Last Updated
4/6/2021

Contact Information

Practice Location

300 Halket St Ste 1731, Suite 1731, Pittsburgh, PA 15213-3108

(412) 641-1000

Unlisted Fax

Mailing Location

300 Halket St Ste 1731, Suite 1731, Pittsburgh, PA 15213-3108

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License MA057983 Pennsylvania

Adam Vanlieshout

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Keriotis, Denise

Baugh, Abigail Marie

Hanlon, Ellie

Whiteko, Natalie Nicole

Kaskie, Joseph Vincent

Crum, Abigail G

Kunkle, Lauren

Shaffer, Edward

Stoll, Isabella Marie

Liberto, Kathryn