Individual ProviderCarole TchatchouaNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1140 Opal Ct, Hagerstown, MD 21740-5940(240) 422-7774PECOS EnrollmentBased on the most recent information from CMS, provider Carole Tchatchoua 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 2 days ago.Profile DetailsProvider ID1447718549Provider TypeIndividualFull NameTchatchoua, CaroleCredentialCRNP-FGenderFemaleSole ProprietorYesEnumeration Date3/7/2019Last Updated7/13/2023Contact InformationPractice LocationPractice Address1140 Opal Ct, Hagerstown, MD 21740-5940Phone(240) 422-7774FaxUnlisted FaxMailing LocationMailing Address1140 Opal Ct, Hagerstown, MD 21740-5940Phone(240) 422-7774FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LP0808XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseR203839MarylandCode363LF0000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseR203839Maryland