Individual ProviderRakhee AjmeraPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address51 N 39th St, 4 Phi, Philadelphia, PA 19104(215) 662-9189PECOS EnrollmentBased on the most recent information from CMS, provider Rakhee Ajmera 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 5 days ago.Profile DetailsProvider ID1255658902Provider TypeIndividualFull NameAjmera, RakheeCredentialPA-CGenderFemaleSole ProprietorNoEnumeration Date4/21/2010Last Updated7/31/2018Contact InformationPractice LocationPractice Address51 N 39th St, 4 Phi, Philadelphia, PA 19104Phone(215) 662-9189FaxUnlisted FaxMailing LocationMailing Address51 N 39th St, 4 Phi, Philadelphia, PA 19104-2640Phone(215) 662-9189FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363AM0700XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseMA055650Pennsylvania