Individual ProviderNomi RinkeSocial WorkerBehavioral Health & Social Service ProvidersPractice Address34 Locust Ave, Port Washington, NY 11050-2712(516) 944-8883PECOS EnrollmentBased on the most recent information from CMS, provider Nomi Rinke is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1497842470Provider TypeIndividualFull NameRinke, NomiTitleMs.CredentialDCSWGenderFemaleSole ProprietorYesEnumeration Date10/9/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address34 Locust Ave, Port Washington, NY 11050-2712Phone(516) 944-8883Fax(516) 944-8290Mailing LocationMailing Address34 Locust Ave, Port Washington, NY 11050-2712Phone(516) 944-8883Fax(516) 944-8290Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicensePR011575-1New YorkProvider IdentifiersIDDescriptionIssuerID092672DescriptionOtherIssuerVALUE OPTIONS IDNew YorkID14308DescriptionOtherIssuerDCSWNew YorkID0078479DescriptionOtherIssuerGHI IDNew York