Look up the most recent NPI and PECOS records

Morgan Kent Taylor Humphrey

Student in an Organized Health Care Education/Training Program

Student, Health Care

128 E Apple St Fl 2, Dayton, OH 45409-2902

(937) 208-2004

PECOS Enrollment

This provider is enrolled in PECOS as MORGAN HUMPHREY.

Based on the most recent information from CMS, provider Morgan Kent Taylor Humphrey is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 8 days ago.

Profile Details

Provider ID
1528521598
Provider Type
Individual
Full Name
Humphrey, Morgan Kent Taylor
Gender
Male

Sole Proprietor
No
Enumeration Date
4/8/2019
Last Updated
4/8/2019

Contact Information

Practice Location

128 E Apple St Fl 2, Dayton, OH 45409-2902

(937) 208-2004

(937) 208-8828

Mailing Location

128 E Apple St Fl 2, Dayton, OH 45409-2902

(937) 208-2004

(937) 208-8828

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Morgan Kent Taylor Humphrey

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Frantz, Jenna

Walk, Casey Thomas

Nidea, Brandon Scott

Barry, Kenton Michael

Bensabeur, Fatima Zahra

Kerns, Nikole Marie

Smith, Ciara Nicole

Schnautz, Ryan

Edwards, Kayla Grace

Haratian, Ryan