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Connor John Shoos

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

This provider is enrolled in PECOS as CONNOR SHOOS.

Based on the most recent information from CMS, provider Connor John Shoos 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 yesterday at 2:35 PM.

Profile Details

Provider ID
1114655594
Provider Type
Individual
Full Name
Shoos, Connor John
Credential
PA-C

Gender
Male
Sole Proprietor
No
Enumeration Date
8/12/2022
Last Updated
1/28/2025

Contact Information

Practice Location

22 Bramhall St, Portland, ME 04102-3134

(207) 662-4618

Unlisted Fax

Mailing Location

22 Bramhall St, Portland, ME 04102-3134

(207) 662-4618

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA2535 Maine

Connor John Shoos

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Bothel, Cody

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Beaver, Eric A

Hazard, Samuel Emerson

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O'Day, Erin Rose

Klotz, Robert