Individual ProviderDong Hee ChangStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address601 E Hampden Ave Ste 470, Englewood, CO 80113-2797(303) 788-3100PECOS EnrollmentBased on the most recent information from CMS, provider Dong Hee Chang 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 today at 10:26 AM.Profile DetailsProvider ID1174382543Provider TypeIndividualFull NameChang, Dong HeeCredentialDOGenderMaleSole ProprietorYesEnumeration Date3/18/2024Last Updated3/19/2024Contact InformationPractice LocationPractice Address601 E Hampden Ave Ste 470, Englewood, CO 80113-2797Phone(303) 788-3100FaxUnlisted FaxMailing LocationMailing Address601 E Hampden Ave Ste 470, Englewood, CO 80113-2797PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer