Individual ProviderRhoda BallahNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address12907 Clearfield Dr, Bowie, MD 20715-1106(240) 486-0199PECOS EnrollmentBased on the most recent information from CMS, provider Rhoda Ballah 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 9:43 AM.Profile DetailsProvider ID1457819526Provider TypeIndividualFull NameBallah, RhodaTitleMrs.GenderFemaleSole ProprietorNoEnumeration Date3/7/2019Last Updated6/5/2024Contact InformationPractice LocationPractice Address12907 Clearfield Dr, Bowie, MD 20715-1106Phone(240) 486-0199Fax(301) 805-0195Mailing LocationMailing Address12907 Clearfield Dr, Bowie, MD 20715-1106Phone(240) 486-0199Fax(301) 805-0195Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseR204861MarylandCode363L00000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseR204861Maryland