Individual ProviderStephanie RaduStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address809 82nd Pkwy, Myrtle Beach, SC 29572-4607(843) 692-3499PECOS EnrollmentBased on the most recent information from CMS, provider Stephanie Radu 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 today at 11:05 AM.Profile DetailsProvider ID1366909988Provider TypeIndividualFull NameRadu, StephanieGenderFemaleSole ProprietorNoEnumeration Date3/1/2019Last Updated3/18/2024Contact InformationPractice LocationPractice Address809 82nd Pkwy, Myrtle Beach, SC 29572-4607Phone(843) 692-3499FaxUnlisted FaxMailing LocationMailing Address809 82nd Pkwy, Myrtle Beach, SC 29572-4607Phone(843) 692-3499FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerIDA772140DescriptionOtherIssuerDRIVER LICENSEOregon