Individual ProviderAbby KingPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address22 Bramhall St, Portland, ME 04102-3134(207) 773-8161PECOS EnrollmentBased on the most recent information from CMS, provider Abby King 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 ID1053823609Provider TypeIndividualFull NameKing, AbbyCredentialPA-CGenderFemaleSole ProprietorNoEnumeration Date11/3/2017Last Updated11/6/2023Contact InformationPractice LocationPractice Address22 Bramhall St, Portland, ME 04102-3134Phone(207) 773-8161FaxUnlisted FaxMailing LocationMailing Address818 Congress St, Portland, ME 04102-3112Phone(207) 773-8161FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicensePA1758Maine