Individual ProviderMarie-Florence ShadlenInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address346 21st St Apt 1l, Brooklyn, NY 11215-6453(929) 722-5520PECOS EnrollmentBased on the most recent information from CMS, provider Marie-Florence Shadlen 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 10:58 AM.Profile DetailsProvider ID1306850656Provider TypeIndividualFull NameShadlen, Marie-FlorenceTitleDr.CredentialM.D.GenderFemaleSole ProprietorYesEnumeration Date7/29/2006Last Updated7/8/2022Contact InformationPractice LocationPractice Address346 21st St Apt 1l, Brooklyn, NY 11215-6453Phone(929) 722-5520FaxUnlisted FaxMailing LocationMailing Address346 21st St Apt 1l, Brooklyn, NY 11215-6453Phone(929) 722-5520FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense251746New YorkCode207QG0300XDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense36296South CarolinaCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense36296South CarolinaCode207RH0002XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense36296South CarolinaProvider IdentifiersIDDescriptionIssuerID362967DescriptionMedicaidIssuerUnlistedSouth Carolina