Individual ProviderAnna MckeownPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address22 Bramhall St, Portland, ME 04102-3134(207) 662-2381PECOS EnrollmentBased on the most recent information from CMS, provider Anna Mckeown 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 2:35 PM.Profile DetailsProvider ID1023521820Provider TypeIndividualFull NameMckeown, AnnaCredentialPA-C, ATCGenderFemaleSole ProprietorNoEnumeration Date11/15/2017Last Updated4/26/2023Contact InformationPractice LocationPractice Address22 Bramhall St, Portland, ME 04102-3134Phone(207) 662-2381FaxUnlisted FaxMailing LocationMailing Address22 Bramhall St, Portland, ME 04102-3134Phone(207) 662-2381FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicensePA2503Maine