Individual ProviderMakida HailemariamRadiologyAllopathic & Osteopathic PhysiciansPractice Address600 N Wolfe St, Baltimore, MD 21287(410) 955-5000(410) 933-6421PECOS EnrollmentBased on the most recent information from CMS, provider Makida Hailemariam 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 5 days ago.Profile DetailsProvider ID1336556760Provider TypeIndividualFull NameHailemariam, MakidaGenderFemaleSole ProprietorYesEnumeration Date7/17/2014Last Updated6/25/2019Contact InformationPractice LocationPractice Address600 N Wolfe St, Baltimore, MD 21287Phone(410) 955-5000FaxUnlisted FaxMailing LocationMailing Address9910 Franklin Square Dr # 2110, Baltimore, MD 21236-4902Phone(410) 933-6421FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicenseD87204MarylandProvider IdentifiersIDDescriptionIssuerIDD87204DescriptionOtherIssuerLICENSEMaryland