Individual ProviderAaron MentzerPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1620 W Harrison St, Chicago, IL 60612-3801(312) 942-5000PECOS EnrollmentBased on the most recent information from CMS, provider Aaron Mentzer 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 3 days ago.Profile DetailsProvider ID1437983699Provider TypeIndividualFull NameMentzer, AaronGenderMaleSole ProprietorNoEnumeration Date8/29/2024Last Updated8/29/2024Contact InformationPractice LocationPractice Address1620 W Harrison St, Chicago, IL 60612-3801Phone(312) 942-5000FaxUnlisted FaxMailing LocationMailing Address1620 W Harrison St, Chicago, IL 60612-3801PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted Issuer