Individual ProviderDavid YousemRadiologyAllopathic & Osteopathic PhysiciansPractice Address600 N Wolfe St, Baltimore, MD 21287-0005(410) 955-6500PECOS EnrollmentBased on the most recent information from CMS, provider David Yousem 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 5 days ago.Profile DetailsProvider ID1013941616Provider TypeIndividualFull NameYousem, DavidCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date7/10/2006Last Updated2/21/2013Contact InformationPractice LocationPractice Address600 N Wolfe St, Baltimore, MD 21287-0005Phone(410) 955-6500FaxUnlisted FaxMailing LocationMailing AddressPO Box 64358, Baltimore, MD 21264-4358Phone(410) 955-6500FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicenseD31211MarylandProvider IdentifiersIDDescriptionIssuerID445451100DescriptionMedicaidIssuerUnlistedMaryland