Individual ProviderNicole BracewellStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address600 North Wolfe Street, Pathology Building, Room 401, Baltimore, MD 21287(410) 955-3980PECOS EnrollmentBased on the most recent information from CMS, provider Nicole Bracewell 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 3 days ago.Profile DetailsProvider ID1225729684Provider TypeIndividualFull NameBracewell, NicoleGenderFemaleSole ProprietorNoEnumeration Date5/17/2023Last Updated5/17/2023Contact InformationPractice LocationPractice Address600 North Wolfe Street, Pathology Building, Room 401, Baltimore, MD 21287Phone(410) 955-3980FaxUnlisted FaxMailing LocationMailing Address600 North Wolfe Street, Pathology Building, Room 401, Baltimore, MD 21287Phone(410) 955-3980FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer