Individual ProviderPeter FaviniEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address1872 Riverside Cir, Easton, PA 18045-5669(484) 503-1200PECOS EnrollmentBased on the most recent information from CMS, provider Peter Favini 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 yesterday at 11:47 AM.Profile DetailsProvider ID1629024708Provider TypeIndividualFull NameFavini, PeterTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date5/26/2006Last Updated6/26/2014Contact InformationPractice LocationPractice Address1872 Riverside Cir, Easton, PA 18045-5669Phone(484) 503-1200Fax(484) 503-1206Mailing LocationMailing Address1872 Riverside Cir, Easton, PA 18045-5669Phone(484) 503-1200Fax(484) 503-1206Provider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicenseMD031795EPennsylvaniaProvider IdentifiersIDDescriptionIssuerID000963690003DescriptionMedicaidIssuerUnlistedPennsylvaniaID930092699DescriptionOtherIssuerRAILROAD MEDICAREPennsylvaniaIDFA108883DescriptionOtherIssuerBLUE SHIELDPennsylvania