Individual ProviderMegan HermesNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address22100 Statler St, Saint Clair Shores, MI 48081-3752(586) 899-6276PECOS EnrollmentBased on the most recent information from CMS, provider Megan Hermes 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 12:57 PM.Profile DetailsProvider ID1558180471Provider TypeIndividualFull NameHermes, MeganGenderFemaleSole ProprietorNoEnumeration Date10/8/2024Last Updated10/8/2024Contact InformationPractice LocationPractice Address22100 Statler St, Saint Clair Shores, MI 48081-3752Phone(586) 899-6276FaxUnlisted FaxMailing LocationMailing Address22100 Statler St, Saint Clair Shores, MI 48081-3752Phone(586) 899-6276FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseF05240020Michigan