MEDICARE: CHARTWELL PENNSYLVANIA, LP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)
2	3336H0001X	Home Infusion Therapy Pharmacy

General Provider Information

NPI Number	:	1467871418
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHARTWELL PENNSYLVANIA, LP

Provider Business Mailing Address
First Line	:	PO BOX 360552
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15251-6552
Country	:	US
Telephone Number	:	412-920-7500
Fax Number	:	412-515-8961

Provider Business Practice Location Address
First Line	:	1518 9TH AVENUE
Second Line	:
City	:	ALTOONA
State	:	PA
Zip	:	16602-2417
Country	:	US
Telephone Number	:	814-941-0106
Fax Number	:	412-920-2883

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DAVID BENEDICT
Credential	:
Telephone Number	:	412-733-1948

Provider Enumeration Date	:	04/07/2014
Last Update Date	:	02/02/2026

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