Individual ProviderFay WalkerNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address5050 N Clinton St, Fort Wayne, IN 46825-5886(260) 484-8551PECOS EnrollmentBased on the most recent information from CMS, provider Fay Walker 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 ID1093380974Provider TypeIndividualFull NameWalker, FayGenderFemaleSole ProprietorNoEnumeration Date5/24/2021Last Updated5/24/2021Contact InformationPractice LocationPractice Address5050 N Clinton St, Fort Wayne, IN 46825-5886Phone(260) 484-8551FaxUnlisted FaxMailing LocationMailing Address5052 N Clinton St, Fort Wayne, IN 46825-5822PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense71011149AIndiana