Individual ProviderMolly JozefowskiPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3400 Spruce Street, 3 Ravdin Bldg. Ste. F, Philadelphia, PA 19104(215) 662-3202PECOS EnrollmentBased on the most recent information from CMS, provider Molly Jozefowski 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 ID1417281585Provider TypeIndividualFull NameJozefowski, MollyCredentialPA-CGenderFemaleSole ProprietorNoEnumeration Date9/23/2009Last Updated2/12/2016Contact InformationPractice LocationPractice Address3400 Spruce Street, 3 Ravdin Bldg. Ste. F, Philadelphia, PA 19104Phone(215) 662-3202Fax(508) 856-0559Mailing LocationMailing Address3400 Spruce Street, 3 Ravdin Bldg. Ste. F, Philadelphia, PA 19104Phone(215) 662-3202Fax(508) 334-1977Provider TaxonomiesCodeDescriptionLicenseCode363AM0700XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseMA054797Pennsylvania