Individual ProviderRobert KlotzPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1375 Congress St, Portland, ME 04102-2118(207) 772-4203PECOS EnrollmentBased on the most recent information from CMS, provider Robert Klotz does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 2:35 PM.Profile DetailsProvider ID1467447847Provider TypeIndividualFull NameKlotz, RobertCredentialPAGenderMaleEnumeration Date9/13/2005Last Updated7/8/2007Contact InformationPractice LocationPractice Address1375 Congress St, Portland, ME 04102-2118Phone(207) 772-4203Fax(207) 780-1055Mailing LocationMailing Address13 Forest Rd, New Gloucester, ME 04260-3026Phone(207) 772-4203FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicensePA76Maine