Individual ProviderVarsha Castro GusmanPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1514 Jefferson Hwy, Jefferson, LA 70121-2429(504) 975-8259PECOS EnrollmentBased on the most recent information from CMS, provider Varsha Castro Gusman 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 ID1114359858Provider TypeIndividualFull NameCastro Gusman, VarshaGenderFemaleSole ProprietorNoEnumeration Date8/5/2013Last Updated8/19/2014Contact InformationPractice LocationPractice Address1514 Jefferson Hwy, Jefferson, LA 70121-2429Phone(504) 975-8259FaxUnlisted FaxMailing LocationMailing Address1514 Jefferson Hwy, Jefferson, LA 70121-2429Phone(504) 975-8259FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363AM0700XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted IssuerLouisianaProvider IdentifiersIDDescriptionIssuerID05584224DescriptionMedicaidIssuerUnlistedMississippiID2341677DescriptionMedicaidIssuerUnlistedLouisiana