Individual ProviderElizabeth AmundsonStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address809 82nd Pkwy, Myrtle Beach, SC 29572-4607(843) 692-3499PECOS EnrollmentBased on the most recent information from CMS, provider Elizabeth Amundson 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 4 days ago.Profile DetailsProvider ID1275282774Provider TypeIndividualFull NameAmundson, ElizabethCredentialDOGenderFemaleSole ProprietorNoEnumeration Date3/22/2022Last Updated3/22/2022Contact InformationPractice LocationPractice Address809 82nd Pkwy, Myrtle Beach, SC 29572-4607Phone(843) 692-3499Fax(843) 692-1122Mailing LocationMailing Address809 82nd Pkwy, Myrtle Beach, SC 29572-4607PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer