Individual ProviderMaya Rae BurkettPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address628 Green Valley Rd, Suite 408, Greensboro, NC 27408-7730(336) 315-5500PECOS EnrollmentBased on the most recent information from CMS, provider Maya Rae Burkett 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 yesterday at 11:21 AM.Profile DetailsProvider ID1194054841Provider TypeIndividualFull NameBurkett, Maya RaeCredentialPAGenderFemaleSole ProprietorNoEnumeration Date12/9/2009Last Updated12/9/2009Contact InformationPractice LocationPractice Address628 Green Valley Rd, Suite 408, Greensboro, NC 27408-7730Phone(336) 315-5500Fax(336) 315-5553Mailing LocationMailing Address628 Green Valley Rd, Suite 408, Greensboro, NC 27408-7730PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense1090147North Carolina