Individual ProviderEmily HinesStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address809 82nd Pkwy, Myrtle Beach, SC 29572-4607(843) 692-1118PECOS EnrollmentBased on the most recent information from CMS, provider Emily Hines 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 today at 11:05 AM.Profile DetailsProvider ID1104575406Provider TypeIndividualFull NameHines, EmilyTitleDr.CredentialDOGenderFemaleSole ProprietorNoEnumeration Date3/22/2022Last Updated3/24/2022Contact InformationPractice LocationPractice Address809 82nd Pkwy, Myrtle Beach, SC 29572-4607Phone(843) 692-1118FaxUnlisted FaxMailing LocationMailing Address6735 Mahi Ln Apt 4-4g, Myrtle Beach, SC 29572-3792PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer