Individual ProviderAidan CoggeshallStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address11937 Us Highway 271, Tyler, TX 75708-3154(903) 877-7200PECOS EnrollmentBased on the most recent information from CMS, provider Aidan Coggeshall 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 2 days ago.Profile DetailsProvider ID1144016247Provider TypeIndividualFull NameCoggeshall, AidanGenderFemaleSole ProprietorNoEnumeration Date4/16/2025Last Updated4/16/2025Contact InformationPractice LocationPractice Address11937 Us Highway 271, Tyler, TX 75708-3154Phone(903) 877-7200FaxUnlisted FaxMailing LocationMailing Address11937 Us Highway 271, Tyler, TX 75708-3154PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer