Individual ProviderMagdalena RakvinPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address501 Seaview Ave, Staten Island, NY 10305-3419(718) 226-9500PECOS EnrollmentBased on the most recent information from CMS, provider Magdalena Rakvin 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 6 days ago.Profile DetailsProvider ID1003246208Provider TypeIndividualFull NameRakvin, MagdalenaTitleMrs.CredentialPA-CGenderFemaleSole ProprietorNoEnumeration Date11/25/2013Last Updated3/17/2022Contact InformationPractice LocationPractice Address501 Seaview Ave, Staten Island, NY 10305-3419Phone(718) 226-9500Fax(718) 226-5822Mailing LocationMailing Address501 Seaview Ave, Staten Island, NY 10305-3419Phone(718) 226-9500Fax(718) 226-5822Provider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense017066New YorkCode363A00000XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense25MP00323500New JerseyCode363AM0700XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense25MP00323500New JerseyCode363AS0400XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense25MP00323500New Jersey