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Emily Grubb

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

3400 Spruce St, Founders 10, Philadelphia, PA 19104

PECOS Enrollment

Based on the most recent information from CMS, provider Emily Grubb 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 5 days ago.

Profile Details

Provider ID
1417433830
Provider Type
Individual
Full Name
Grubb, Emily
Credential
PA

Gender
Female
Sole Proprietor
No
Enumeration Date
7/18/2018
Last Updated
8/12/2021

Contact Information

Practice Location

3400 Spruce St, Founders 10, Philadelphia, PA 19104

(215) 662-3836

Unlisted Fax

Mailing Location

3400 Spruce St, Founders 10, Philadelphia, PA 19104

(215) 662-3836

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License MA059881 Pennsylvania

Emily Grubb

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Hoover, Brendan Arthur

Freeman, Jodi Frances

Tupper, Zachary Craig

Chester, Shannon Mary

Shah, Jaimin J

Gaughan, Kaila

Thrippleton, Sheri Lea

Wigley, Justin

Kashner, Kimberly

Haimes, Lauren Elizabeth