Individual ProviderWael HusseinInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1325 Eastmoreland Ave Ste 445, Memphis, TN 38104-7536(901) 866-8810PECOS EnrollmentBased on the most recent information from CMS, provider Wael Hussein 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 12:57 PM.Profile DetailsProvider ID1104172378Provider TypeIndividualFull NameHussein, WaelTitleDr.GenderMaleSole ProprietorYesEnumeration Date7/25/2012Last Updated12/16/2024Contact InformationPractice LocationPractice Address1325 Eastmoreland Ave Ste 445, Memphis, TN 38104-7536Phone(901) 866-8810Fax(901) 302-2450Mailing LocationMailing Address1068 Cresthaven Rd Ste 300, Memphis, TN 38119-0809PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207RN0300XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense64134Tennessee