Look up the most recent NPI and PECOS records

Colleen Patricia Mahar

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

2105 Braxton Ln Ste 101, Greensboro, NC 27408-2862

PECOS Enrollment

This provider is enrolled in PECOS as COLLEEN MAHAR.

Based on the most recent information from CMS, provider Colleen Patricia Mahar is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:21 AM.

Profile Details

Provider ID
1063477107
Provider Type
Individual
Full Name
Mahar, Colleen Patricia
Credential
PA

Gender
Female
Sole Proprietor
No
Enumeration Date
4/20/2006
Last Updated
5/2/2025

Contact Information

Practice Location

2105 Braxton Ln Ste 101, Greensboro, NC 27408-2862

(336) 333-6306

(336) 333-6309

Mailing Location

PO Box 604345, Charlotte, NC 28260-4345

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 103466 North Carolina

Provider Identifiers

ID	Description	Issuer
ID 196837	Description Other	Issuer MEDCOST North Carolina

Colleen Patricia Mahar

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Shuford, Tracy A

Bethune, James Gordon

Hill, Avery Suzanne

Lindquist, John

Tenjerla, Srisai Saratdyuti

Cheek, Tamra Shay

Keller, Carolyn

Kilroy, Luke Kelly

Stevens, Kelly

Caruso, Joshua Anthony