Individual ProviderAshley PalmerPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address33 Sewall St, Portland, ME 04102-2603(072) 828-2100(072) 482-7800PECOS EnrollmentBased on the most recent information from CMS, provider Ashley Palmer 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 2:35 PM.Profile DetailsProvider ID1417566837Provider TypeIndividualFull NamePalmer, AshleyCredentialPA-CGenderFemaleSole ProprietorNoEnumeration Date7/31/2020Last Updated6/24/2025Contact InformationPractice LocationPractice Address33 Sewall St, Portland, ME 04102-2603Phone(072) 828-2100FaxUnlisted FaxMailing LocationMailing Address324 Gannett Dr Ste 200, South Portland, ME 04106-3266Phone(072) 482-7800Fax(207) 482-7898Provider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicensePA2335MaineCode363A00000XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicensePA.0009098ColoradoProvider IdentifiersIDDescriptionIssuerID1417566837DescriptionMedicaidIssuerUnlistedMaine