Individual ProviderMarc LoubeauNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address647 E 89th St, Apt 3, Brooklyn, NY 11236-3463(347) 495-1287PECOS EnrollmentBased on the most recent information from CMS, provider Marc Loubeau 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 yesterday at 9:15 AM.Profile DetailsProvider ID1164825204Provider TypeIndividualFull NameLoubeau, MarcCredentialNPGenderMaleSole ProprietorNoEnumeration Date10/3/2014Last Updated12/26/2022Contact InformationPractice LocationPractice Address647 E 89th St, Apt 3, Brooklyn, NY 11236-3463Phone(347) 495-1287FaxUnlisted FaxMailing LocationMailing Address647 E 89th St, Apt 3, Brooklyn, NY 11236-3463Phone(347) 495-1287FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LA2200XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense311048New YorkCode163W00000XDescriptionRegistered NurseNursing Service ProvidersLicense691305New York