Look up the most recent NPI and PECOS records

Maria Fareri

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

3400 Spruce St, Philadelphia, PA 19104-4238

PECOS Enrollment

Based on the most recent information from CMS, provider Maria Fareri is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1356931315
Provider Type
Individual
Full Name
Fareri, Maria
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
1/24/2021
Last Updated
4/5/2021

Contact Information

Practice Location

3400 Spruce St, Philadelphia, PA 19104-4238

(215) 662-2277

Unlisted Fax

Mailing Location

3039 Amy Dr, South Park, PA 15129-9371

(724) 747-8033

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License MA062424 Pennsylvania

Maria Fareri

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Cappelloni, Mara L

Freeman, Jodi Frances

Pullaro, Anna T

Cross, Tiffany

Elliott, Jennifer R

Monacelli, Christopher David

Shah, Jaimin J

Arvanaghi, Roxana

Ziegler, Pamela Jayne

Taylor, Kai