Individual ProviderRegina Mackiewicz DaileyDentistDental ProvidersPractice Address221 N Ingalls St, Ann Arbor, MI 48104-1511(734) 996-0055PECOS EnrollmentBased on the most recent information from CMS, provider Regina Mackiewicz Dailey is legally eligible to order and refer claims for Part B, HHA and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1467539163Provider TypeIndividualFull NameMackiewicz Dailey, ReginaCredentialD.M.DGenderFemaleSole ProprietorYesEnumeration Date11/1/2006Last Updated1/26/2017Contact InformationPractice LocationPractice Address221 N Ingalls St, Ann Arbor, MI 48104-1511Phone(734) 996-0055Fax(734) 996-5934Mailing LocationMailing Address221 N Ingalls St, Ann Arbor, MI 48104-1511Phone(734) 996-0055Fax(734) 996-5934Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicense14495Michigan