Individual ProviderElizabeth SmythStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address507 North 17th Street, Milwaukee, WI 53233(414) 288-0607PECOS EnrollmentBased on the most recent information from CMS, provider Elizabeth Smyth 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 yesterday at 12:57 PM.Profile DetailsProvider ID1417542721Provider TypeIndividualFull NameSmyth, ElizabethGenderFemaleSole ProprietorYesEnumeration Date3/8/2021Last Updated3/8/2021Contact InformationPractice LocationPractice Address507 North 17th Street, Milwaukee, WI 53233Phone(414) 288-0607FaxUnlisted FaxMailing LocationMailing Address507 North 17th Street, Milwaukee, WI 53233PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer