Individual ProviderMarc A HareEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address9300 Campus Point Drive, La Jolla, CA 92037(858) 657-7000(888) 486-4380PECOS EnrollmentThis provider is enrolled in PECOS as MARC HARE.Based on the most recent information from CMS, provider Marc A Hare 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 6 days ago.Profile DetailsProvider ID1467482877Provider TypeIndividualFull NameHare, Marc ACredentialMDGenderMaleSole ProprietorNoEnumeration Date7/3/2006Last Updated5/8/2008Contact InformationPractice LocationPractice Address9300 Campus Point Drive, La Jolla, CA 92037Phone(858) 657-7000FaxUnlisted FaxMailing LocationMailing AddressFile No 54826, Los Angeles, CA 90074-4826Phone(888) 486-4380FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicenseA72618CaliforniaProvider IdentifiersIDDescriptionIssuerID00A726180DescriptionMedicaidIssuerUnlistedCalifornia