Individual ProviderJeffrey G PrevitePhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address818 Congress St, Portland, ME 04102-3112(207) 773-8161PECOS EnrollmentBased on the most recent information from CMS, provider Jeffrey G Previte 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 ID1497277735Provider TypeIndividualFull NamePrevite, Jeffrey GCredentialPA-CGenderMaleSole ProprietorNoEnumeration Date7/7/2017Last Updated7/7/2017Contact InformationPractice LocationPractice Address818 Congress St, Portland, ME 04102-3112Phone(207) 773-8161FaxUnlisted FaxMailing LocationMailing Address19 Everett St, Melrose, MA 02176-4513PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted Issuer