Individual ProviderArtem VasilenkoPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address475 Seaview Ave, Staten Island, NY 10305-3436(718) 226-9000(760) 208-7276PECOS EnrollmentBased on the most recent information from CMS, provider Artem Vasilenko 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 5 days ago.Profile DetailsProvider ID1548790900Provider TypeIndividualFull NameVasilenko, ArtemCredentialPHYSICIAN ASSISTANTGenderMaleSole ProprietorNoEnumeration Date6/18/2017Last Updated3/17/2018Contact InformationPractice LocationPractice Address475 Seaview Ave, Staten Island, NY 10305-3436Phone(718) 226-9000FaxUnlisted FaxMailing LocationMailing Address2828 Kings Hwy Apt 5h, Brooklyn, NY 11229-1836Phone(760) 208-7276FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense020985New York