Individual ProviderSamantha FerrignoPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3400 Spruce St, Philadelphia, PA 19104-4206(215) 662-3005PECOS EnrollmentBased on the most recent information from CMS, provider Samantha Ferrigno 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 ID1437451044Provider TypeIndividualFull NameFerrigno, SamanthaCredentialPA-CGenderFemaleSole ProprietorNoEnumeration Date12/2/2010Last Updated11/8/2013Contact InformationPractice LocationPractice Address3400 Spruce St, Philadelphia, PA 19104-4206Phone(215) 662-3005FaxUnlisted FaxMailing LocationMailing Address3400 Spruce St, 1 Silverstein, Philadelphia, PA 19104-4206Phone(215) 662-3005FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363AM0700XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseMA054678Pennsylvania