Individual ProviderKaren HartInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1321 Colby Ave, Everett, WA 98201-1665(425) 261-2000(866) 747-2455PECOS EnrollmentBased on the most recent information from CMS, provider Karen Hart 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 2 days ago.Profile DetailsProvider ID1255436481Provider TypeIndividualFull NameHart, KarenCredentialMDGenderFemaleSole ProprietorNoEnumeration Date9/13/2006Last Updated6/24/2021Contact InformationPractice LocationPractice Address1321 Colby Ave, Everett, WA 98201-1665Phone(425) 261-2000FaxUnlisted FaxMailing LocationMailing AddressPO Box 3360, Portland, OR 97208-3360Phone(866) 747-2455FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseMD00028477WashingtonCode208M00000XDescriptionHospitalistAllopathic & Osteopathic PhysiciansLicense28477WashingtonProvider IdentifiersIDDescriptionIssuerID1006154DescriptionMedicaidIssuerUnlistedWashington