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Deidre F. Sargent

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

2015 Grand Concourse, Bronx, NY 10453

PECOS Enrollment

This provider is enrolled in PECOS as DEIDRE SARGENT.

Based on the most recent information from CMS, provider Deidre F. Sargent is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1114165628
Provider Type
Individual
Full Name
Sargent, Deidre F.
Title
Ms.
Credential
NP

Gender
Female
Sole Proprietor
No
Enumeration Date
1/22/2009
Last Updated
6/11/2018

Contact Information

Practice Location

2015 Grand Concourse, Bronx, NY 10453

(718) 299-7295

Unlisted Fax

Mailing Location

2015 Grand Concourse, Bronx, NY 10453-4303

(718) 299-7295

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License F334185-1 New York

Deidre F. Sargent

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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