Individual ProviderMegan MillerPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address51 N 39th St, Ws-128, Philadelphia, PA 19104-2640(215) 662-9990PECOS EnrollmentBased on the most recent information from CMS, provider Megan Miller 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 ID1033766340Provider TypeIndividualFull NameMiller, MeganCredentialPA-CGenderFemaleSole ProprietorNoEnumeration Date8/21/2019Last Updated8/21/2019Contact InformationPractice LocationPractice Address51 N 39th St, Ws-128, Philadelphia, PA 19104-2640Phone(215) 662-9990FaxUnlisted FaxMailing LocationMailing Address51 N 39th St, Ws-128, Philadelphia, PA 19104-2640Phone(215) 662-9990FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363AM0700XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseMA060802Pennsylvania