Individual ProviderHope IrwinPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address4350 Us 421 S, Lillington, NC 27546-6760(910) 893-1210(719) 468-1897PECOS EnrollmentBased on the most recent information from CMS, provider Hope Irwin 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 ID1467037614Provider TypeIndividualFull NameIrwin, HopeGenderFemaleSole ProprietorNoEnumeration Date3/9/2021Last Updated10/26/2021Contact InformationPractice LocationPractice Address4350 Us 421 S, Lillington, NC 27546-6760Phone(910) 893-1210FaxUnlisted FaxMailing LocationMailing Address1532 Sunbow Falls Ln Apt 304, Raleigh, NC 27609-8112Phone(719) 468-1897FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense0110008076VirginiaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer