Individual ProviderStephanie ShiStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address128 E Apple St Fl 2, Dayton, OH 45409-2902(937) 208-2004PECOS EnrollmentBased on the most recent information from CMS, provider Stephanie Shi 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 8 days ago.Profile DetailsProvider ID1447990551Provider TypeIndividualFull NameShi, StephanieCredentialMDGenderFemaleSole ProprietorNoEnumeration Date3/29/2022Last Updated3/29/2022Contact InformationPractice LocationPractice Address128 E Apple St Fl 2, Dayton, OH 45409-2902Phone(937) 208-2004FaxUnlisted FaxMailing LocationMailing Address128 E Apple St Fl 2, Dayton, OH 45409-2902Phone(937) 208-2004FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer