Individual ProviderSophia SzakacsPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address22 Bramhall St, Portland, ME 04102-3134(207) 662-2414(207) 661-2000PECOS EnrollmentBased on the most recent information from CMS, provider Sophia Szakacs 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 2:35 PM.Profile DetailsProvider ID1538413885Provider TypeIndividualFull NameSzakacs, SophiaCredentialPA-CGenderFemaleSole ProprietorNoEnumeration Date11/7/2012Last Updated5/16/2024Contact InformationPractice LocationPractice Address22 Bramhall St, Portland, ME 04102-3134Phone(207) 662-2414Fax(207) 662-2414Mailing LocationMailing Address190 Riverside St, Suite 6b, Portland, ME 04103-1073Phone(207) 661-2000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicensePA 1610MaineCode363AM0700XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense25MP00297100New JerseyProvider IdentifiersIDDescriptionIssuerID1538413885DescriptionMedicaidIssuerUnlistedMaine