Individual ProviderTeresa YatesNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address125 Baptist Way Ste 3a, Pensacola, FL 32503-2274(448) 227-6604PECOS EnrollmentBased on the most recent information from CMS, provider Teresa Yates 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 ID1033119391Provider TypeIndividualFull NameYates, TeresaCredentialARNPGenderFemaleSole ProprietorNoEnumeration Date7/28/2005Last Updated3/19/2024Contact InformationPractice LocationPractice Address125 Baptist Way Ste 3a, Pensacola, FL 32503-2274Phone(448) 227-6604Fax(850) 857-1747Mailing LocationMailing Address125 Baptist Way Ste 3a, Pensacola, FL 32503-2274Phone(448) 227-6604Fax(850) 857-1747Provider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseARNP174927FloridaProvider IdentifiersIDDescriptionIssuerID302336200DescriptionMedicaidIssuerUnlistedFlorida