Individual ProviderBassem RezkStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address3515 W Union Hills Dr Ste 111, Glendale, AZ 85308-2430(929) 308-5775PECOS EnrollmentBased on the most recent information from CMS, provider Bassem Rezk 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 6 days ago.Profile DetailsProvider ID1487372314Provider TypeIndividualFull NameRezk, BassemGenderMaleSole ProprietorNoEnumeration Date8/17/2022Last Updated6/16/2025Contact InformationPractice LocationPractice Address3515 W Union Hills Dr Ste 111, Glendale, AZ 85308-2430Phone(929) 308-5775FaxUnlisted FaxMailing LocationMailing Address22010 N 73rd Ln, Glendale, AZ 85310-5297Phone(929) 308-5775FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseR79181ArizonaCode363A00000XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseTPPA961FloridaCode363A00000XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense2022027022Missouri