Look up the most recent NPI and PECOS records

Ellie Hanlon

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

3811 Ohara St, Suite 100, Pittsburgh, PA 15213-2561

PECOS Enrollment

Based on the most recent information from CMS, provider Ellie Hanlon 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
1376018820
Provider Type
Individual
Full Name
Hanlon, Ellie
Gender
Female

Sole Proprietor
No
Enumeration Date
10/11/2018
Last Updated
5/24/2021

Contact Information

Practice Location

3811 Ohara St, Suite 100, Pittsburgh, PA 15213-2561

(412) 624-2100

Unlisted Fax

Mailing Location

3925 Butler St Apt 410, Suite 100, Pittsburgh, PA 15201-3286

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License MA060113 Pennsylvania

Ellie Hanlon

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Kaskie, Joseph Vincent

Guerrero, Brenda

Bash, Braeden

Neemes, Shannon

Petrichevich, Jaclyn

Guerriero, Emily

Browning, Brooke Marshall

Christy, Madalyn Adele

Smeltzer, Tshona

Houliahn, Jennifer F