Individual ProviderSara Isabelle KoussaStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice AddressCleveland Clinic, 9500 Euclid Avenue/Jj24, Cleveland, OH 44195(216) 444-2200PECOS EnrollmentBased on the most recent information from CMS, provider Sara Isabelle Koussa does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1033969506Provider TypeIndividualFull NameKoussa, Sara IsabelleGenderFemaleSole ProprietorYesEnumeration Date3/26/2024Last Updated3/26/2024Contact InformationPractice LocationPractice AddressCleveland Clinic, 9500 Euclid Avenue/Jj24, Cleveland, OH 44195Phone(216) 444-2200FaxUnlisted FaxMailing LocationMailing AddressCleveland Clinic, 9500 Euclid Avenue/Jj24, Cleveland, OH 44195Phone(216) 444-2200FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer