Individual ProviderMishanta ReyesObstetrics & GynecologyAllopathic & Osteopathic PhysiciansPractice Address401 Lowell Dr SE Ste 5, Huntsville, AL 35801-3738(256) 265-4462(256) 801-6321PECOS EnrollmentBased on the most recent information from CMS, provider Mishanta Reyes 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 9:43 AM.Profile DetailsProvider ID1336408830Provider TypeIndividualFull NameReyes, MishantaCredentialD.O.GenderFemaleSole ProprietorNoEnumeration Date5/4/2012Last Updated2/4/2025Contact InformationPractice LocationPractice Address401 Lowell Dr SE Ste 5, Huntsville, AL 35801-3738Phone(256) 265-4462Fax(256) 265-4463Mailing LocationMailing AddressPO Box 21007, Huntsville, AL 35813-5007Phone(256) 801-6321Fax(256) 801-6218Provider TaxonomiesCodeDescriptionLicenseCode207V00000XPrimaryDescriptionObstetrics & GynecologyAllopathic & Osteopathic PhysiciansLicense1800Alabama