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Kathleen Hayes

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Kathleen Hayes 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 2 days ago.

Profile Details

Provider ID
1407822273
Provider Type
Individual
Full Name
Hayes, Kathleen
Credential
PAC

Gender
Female
Sole Proprietor
No
Enumeration Date
2/23/2006
Last Updated
2/13/2013

Contact Information

Practice Location

6300 Tripp Pl, Charlotte, NC 28277-0103

(704) 577-5656

(704) 544-0357

Mailing Location

6300 Tripp Pl, Charlotte, NC 28277-0103

(704) 577-5656

(704) 544-0357

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 103463 North Carolina

Kathleen Hayes

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Thummer, Drashti Rajendra

Markowitz, Oren

O'Brien, Sharon Mcvay

Lesuer, Hayley Hasty

Swope, William

Ross, Taylor

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Colarusso, Alexandra Bliss

Cutler, Rebecca Alexandra