Individual ProviderBenjamin WuSpecialistOther Service ProvidersPractice Address730 60th St Fl 1, Brooklyn, NY 11220-4220(718) 484-3225PECOS EnrollmentBased on the most recent information from CMS, provider Benjamin Wu 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 ID1275639502Provider TypeIndividualFull NameWu, BenjaminTitleMr.GenderMaleSole ProprietorYesEnumeration Date9/15/2006Last Updated1/15/2015Contact InformationPractice LocationPractice Address730 60th St Fl 1, Brooklyn, NY 11220-4220Phone(718) 484-3225FaxUnlisted FaxMailing LocationMailing Address730 60th St Fl 1, Brooklyn, NY 11220-4220Phone(718) 484-3225FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicense217687New YorkProvider IdentifiersIDDescriptionIssuerID02136607DescriptionMedicaidIssuerUnlistedNew York