Individual ProviderSophie FarleyPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3400 Spruce St, 3 Silverstein, Philadelphia, PA 19104-4238(215) 662-3487PECOS EnrollmentBased on the most recent information from CMS, provider Sophie Farley is legally eligible to order and refer claims for DME and PMD services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1205372687Provider TypeIndividualFull NameFarley, SophieTitleMissCredentialPA-CGenderFemaleSole ProprietorNoEnumeration Date1/10/2017Last Updated12/21/2018Contact InformationPractice LocationPractice Address3400 Spruce St, 3 Silverstein, Philadelphia, PA 19104-4238Phone(215) 662-3487Fax(215) 349-5534Mailing LocationMailing Address3400 Spruce St, 3 Silverstein, Philadelphia, PA 19104-4238Phone(215) 662-3487Fax(215) 349-5534Provider TaxonomiesCodeDescriptionLicenseCode363AM0700XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseMA058817Pennsylvania