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Susan Macias Corey

Internal Medicine

Allopathic & Osteopathic Physicians

4950 W Sunset Blvd, 6th Floor Internal Medicine, Los Angeles, CA 90027-5822

PECOS Enrollment

This provider is enrolled in PECOS as SUSAN COREY.

Based on the most recent information from CMS, provider Susan Macias Corey 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
1124324488
Provider Type
Individual
Full Name
Corey, Susan Macias
Credential
MD

Gender
Female
Sole Proprietor
Yes
Enumeration Date
2/3/2011
Last Updated
11/4/2021

Contact Information

Practice Location

4950 W Sunset Blvd, 6th Floor Internal Medicine, Los Angeles, CA 90027-5822

(323) 782-3000

Unlisted Fax

Mailing Location

4950 W Sunset Blvd, 6th Floor Internal Medicine, Los Angeles, CA 90027-5822

(323) 782-3000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License A115236 California

Susan Macias Corey

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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