Individual ProviderChiawan FuAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address100 Brewster Blvd, Camp Lejeune, NC 28547-2575(910) 450-3256PECOS EnrollmentBased on the most recent information from CMS, provider Chiawan Fu 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 yesterday at 12:57 PM.Profile DetailsProvider ID1295774693Provider TypeIndividualFull NameFu, ChiawanCredentialMDGenderFemaleSole ProprietorNoEnumeration Date6/5/2006Last Updated6/4/2025Contact InformationPractice LocationPractice Address100 Brewster Blvd, Camp Lejeune, NC 28547-2575Phone(910) 450-3256FaxUnlisted FaxMailing LocationMailing Address100 Brewster Blvd, Camp Lejeune, NC 28547-2575PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseM3226TexasCode207L00000XDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicense24637South CarolinaCode207L00000XDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicense45422TennesseeProvider IdentifiersIDDescriptionIssuerID182472402DescriptionMedicaidIssuerUnlistedTexasID8W7042DescriptionOtherIssuerBCBSTXTexas