Individual ProviderMolly ResnickPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1600 Congress St Ste B, Portland, ME 04102-2148(207) 774-5222PECOS EnrollmentBased on the most recent information from CMS, provider Molly Resnick 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 2:35 PM.Profile DetailsProvider ID1477136091Provider TypeIndividualFull NameResnick, MollyGenderFemaleSole ProprietorNoEnumeration Date5/2/2021Last Updated7/22/2021Contact InformationPractice LocationPractice Address1600 Congress St Ste B, Portland, ME 04102-2148Phone(207) 774-5222FaxUnlisted FaxMailing LocationMailing Address1600 Congress St Ste B, Portland, ME 04102-2148Phone(207) 774-5222FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicensePA2232Maine