Look up the most recent NPI and PECOS records

Madison Kraemer

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

3811 Ohara St, Pittsburgh, PA 15213-2561

PECOS Enrollment

Based on the most recent information from CMS, provider Madison Kraemer 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 2 days ago.

Profile Details

Provider ID
1124771837
Provider Type
Individual
Full Name
Kraemer, Madison
Gender
Female

Sole Proprietor
No
Enumeration Date
2/2/2022
Last Updated
11/14/2024

Contact Information

Practice Location

3811 Ohara St, Pittsburgh, PA 15213-2561

(412) 624-2100

Unlisted Fax

Mailing Location

3811 Ohara St, Pittsburgh, PA 15213-2561

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License MA063340 Pennsylvania
Code 363A00000X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License OA005998 Pennsylvania

Madison Kraemer

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Kerin, Samantha

Johnson, Natalie Carney

Niedermeier, Briana

Guerriero, Emily

Acosta, Michelle

Decaria, Bernadette

Moss, Krista Marie

Heinzmann, Mekayla Ann

Vanlieshout, Adam

Abukhdeir, Ahlam