Look up the most recent NPI and PECOS records

Loreen Michelitch

Specialist

Other Service Providers

192 Tower Dr Ste 400, Middletown, NY 10941-2056

PECOS Enrollment

Based on the most recent information from CMS, provider Loreen Michelitch does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1063864361
Provider Type
Individual
Full Name
Michelitch, Loreen
Gender
Female

Sole Proprietor
No
Enumeration Date
7/11/2016
Last Updated
7/11/2016

Contact Information

Practice Location

192 Tower Dr Ste 400, Middletown, NY 10941-2056

(845) 692-4391

Unlisted Fax

Mailing Location

23 Rackett Rd, Port Jervis, NY 12771-3439

(845) 800-2536

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 174400000X Primary	Description Specialist Other Service Providers	License Unlisted Issuer

Provider Identifiers

ID	Description	Issuer
ID 174400000X	Description Other	Issuer TEACHER New York

Loreen Michelitch

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

Cruz, Daisy Ann

Seymour, Denise Lynn

Dollaway, Heather

Martinez, Vielka

Saladino, Alyssa

Fazio, Kristen Alison

Kellmann, Elizabeth Carol

Carsley, Carolyn

Waddell, Darlene

Arnold, Alexandra Susan