Individual ProviderCailey SimmonsStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address1 Gustave Levy Place, New York, NY 10029(212) 824-8069PECOS EnrollmentBased on the most recent information from CMS, provider Cailey Simmons 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 5 days ago.Profile DetailsProvider ID1154852408Provider TypeIndividualFull NameSimmons, CaileyCredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date3/27/2017Last Updated12/23/2021Contact InformationPractice LocationPractice Address1 Gustave Levy Place, New York, NY 10029Phone(212) 824-8069FaxUnlisted FaxMailing LocationMailing Address1 Gustave Levy Place, Box 1149, New York, NY 10029PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer