Individual ProviderKristine M SchaeferLicensed Practical NurseNursing Service ProvidersPractice Address473 Old North Ocean Ave, Patchogue, NY 11772-2472(631) 512-3849PECOS EnrollmentBased on the most recent information from CMS, provider Kristine M Schaefer does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1154501658Provider TypeIndividualFull NameSchaefer, Kristine MTitleMrs.CredentialLPNGenderFemaleSole ProprietorYesEnumeration Date11/13/2007Last Updated11/13/2007Contact InformationPractice LocationPractice Address473 Old North Ocean Ave, Patchogue, NY 11772-2472Phone(631) 512-3849FaxUnlisted FaxMailing LocationMailing Address473 Old North Ocean Ave, Patchogue, NY 11772-2472Phone(631) 512-3849FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense256358-1New YorkProvider IdentifiersIDDescriptionIssuerID01866504DescriptionMedicaidIssuerUnlistedNew York