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Joshua Anthony Caruso

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

2105 Braxton Ln Ste 101, Greensboro, NC 27408-2862

PECOS Enrollment

This provider is enrolled in PECOS as JOSHUA CARUSO.

Based on the most recent information from CMS, provider Joshua Anthony Caruso is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:21 AM.

Profile Details

Provider ID
1548344211
Provider Type
Individual
Full Name
Caruso, Joshua Anthony
Credential
PA

Gender
Male
Sole Proprietor
No
Enumeration Date
10/25/2006
Last Updated
5/2/2025

Contact Information

Practice Location

2105 Braxton Ln Ste 101, Greensboro, NC 27408-2862

(336) 333-6306

(336) 333-6309

Mailing Location

PO Box 604345, Charlotte, NC 28260-4345

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 0010-14925 North Carolina
Code 363AS0400X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 011012 New York

Provider Identifiers

ID	Description	Issuer
ID 1548344211	Description Medicaid	Issuer Unlisted North Carolina

Joshua Anthony Caruso

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

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Description

License

Code

Description

License

Code

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License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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