Individual ProviderAnita MikkilineniObstetrics & GynecologyAllopathic & Osteopathic PhysiciansPractice Address2150 Pennsylvania Ave NW Fl 5, Washington, DC 20037-3201(202) 741-2500(914) 909-9018PECOS EnrollmentBased on the most recent information from CMS, provider Anita Mikkilineni 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 ID1083068258Provider TypeIndividualFull NameMikkilineni, AnitaCredentialM.D.GenderFemaleSole ProprietorYesEnumeration Date4/14/2016Last Updated1/9/2024Contact InformationPractice LocationPractice Address2150 Pennsylvania Ave NW Fl 5, Washington, DC 20037-3201Phone(202) 741-2500Fax(202) 741-2550Mailing LocationMailing Address19 Bradhurst Ave Ste 3100n, Hawthorne, NY 10532-2140Phone(914) 909-9018Fax(914) 909-9028Provider TaxonomiesCodeDescriptionLicenseCode207V00000XPrimaryDescriptionObstetrics & GynecologyAllopathic & Osteopathic PhysiciansLicenseMD210002669District of ColumbiaCode207V00000XDescriptionObstetrics & GynecologyAllopathic & Osteopathic PhysiciansLicense306397New York