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Carlos Hermes Casamalhuapa

Anesthesiology

Allopathic & Osteopathic Physicians

100 Brewster Blvd, Camp Lejeune, NC 28547-2575

PECOS Enrollment

This provider is enrolled in PECOS as CARLOS CASAMALHUAPA.

Based on the most recent information from CMS, provider Carlos Hermes Casamalhuapa 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 12:57 PM.

Profile Details

Provider ID
1154697787
Provider Type
Individual
Full Name
Casamalhuapa, Carlos Hermes
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
3/28/2012
Last Updated
2/17/2022

Contact Information

Practice Location

100 Brewster Blvd, Camp Lejeune, NC 28547-2575

(910) 450-4357

Unlisted Fax

Mailing Location

100 Brewster Blvd, Camp Lejeune, NC 28547-2575

(910) 450-4357

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207L00000X Primary	Description Anesthesiology Allopathic & Osteopathic Physicians	License 201901017 North Carolina

Carlos Hermes Casamalhuapa

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Wheelan, Ann

Baho, Sammy Mark

Deutsch, Julian Ralf

Willett, Peter

Frease, Davis

Speer, Barbra Bryce

Fleenor, Jason

Farber, Jordan Sackler

Parrott, Matthew Jay

Schmidt, Rolf Kirsten