Individual ProviderAnushree MehrotraStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address1801 W Wisconsin Ave, Graduate Endodontics,Marquette Dental School, Milwaukee, WI 53233-2186(414) 288-7047PECOS EnrollmentBased on the most recent information from CMS, provider Anushree Mehrotra is legally eligible to order and refer claims for Part B, HHA and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1265867006Provider TypeIndividualFull NameMehrotra, AnushreeTitleDr.CredentialDDSGenderFemaleSole ProprietorYesEnumeration Date9/12/2013Last Updated9/12/2013Contact InformationPractice LocationPractice Address1801 W Wisconsin Ave, Graduate Endodontics,Marquette Dental School, Milwaukee, WI 53233-2186Phone(414) 288-7047FaxUnlisted FaxMailing LocationMailing Address1801 W Wisconsin Ave, Graduate Endodontics, Maquette Dental School, Milwaukee, WI 53233-2186PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer