Individual ProviderHao MengPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3200 Northline Ave Ste 250, Greensboro, NC 27408-7619(336) 938-0800(305) 343-8938PECOS EnrollmentBased on the most recent information from CMS, provider Hao Meng 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 11:21 AM.Profile DetailsProvider ID1508288168Provider TypeIndividualFull NameMeng, HaoGenderMaleSole ProprietorNoEnumeration Date1/15/2014Last Updated8/25/2021Contact InformationPractice LocationPractice Address3200 Northline Ave Ste 250, Greensboro, NC 27408-7619Phone(336) 938-0800FaxUnlisted FaxMailing LocationMailing Address117 Shorelake Dr Apt K, Greensboro, NC 27455-1469Phone(305) 343-8938FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense0010-04713North CarolinaProvider IdentifiersIDDescriptionIssuerID1508288168DescriptionMedicaidIssuerUnlistedNorth CarolinaID1835PADescriptionMedicaidIssuerUnlistedSouth Carolina