Individual ProviderTamara BenoitNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address100 Woods Rd, Valhalla, NY 10595-1530(914) 909-9018(914) 428-9213PECOS EnrollmentBased on the most recent information from CMS, provider Tamara Benoit 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 3 days ago.Profile DetailsProvider ID1528597663Provider TypeIndividualFull NameBenoit, TamaraGenderFemaleSole ProprietorYesEnumeration Date6/11/2017Last Updated11/12/2022Contact InformationPractice LocationPractice Address100 Woods Rd, Valhalla, NY 10595-1530Phone(914) 909-9018FaxUnlisted FaxMailing LocationMailing Address333 Westchester Ave Ste 104, White Plains, NY 10604-2910Phone(914) 428-9213FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense348329New YorkCode163W00000XDescriptionRegistered NurseNursing Service ProvidersLicense732157New York