Individual ProviderDenise KeriotisPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address200 Lothrop St, Pittsburgh, PA 15213-2536(412) 647-8666PECOS EnrollmentBased on the most recent information from CMS, provider Denise Keriotis 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 2 days ago.Profile DetailsProvider ID1053640334Provider TypeIndividualFull NameKeriotis, DeniseCredentialPAGenderFemaleSole ProprietorNoEnumeration Date12/15/2009Last Updated12/15/2009Contact InformationPractice LocationPractice Address200 Lothrop St, Pittsburgh, PA 15213-2536Phone(412) 647-8666FaxUnlisted FaxMailing LocationMailing Address200 Lothrop St, Pittsburgh, PA 15213-2536Phone(412) 647-8666FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363AM0700XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseMA054074Pennsylvania