Tracy A. Benenati | Patchogue, NY • PECOS Search

Tracy A. Benenati

Licensed Practical Nurse

Nursing Service Providers

95 Engelke St, Patchogue, NY 11772-2466

PECOS Enrollment

Based on the most recent information from CMS, provider Tracy A. Benenati does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1558789107
Provider Type
Individual
Full Name
Benenati, Tracy A.
Title
Mrs.
Credential
LPN

Gender
Female
Sole Proprietor
No
Enumeration Date
4/1/2014
Last Updated
4/1/2014

Contact Information

Practice Location

95 Engelke St, Patchogue, NY 11772-2466

Unlisted Fax

Mailing Location

95 Engelke St, Patchogue, NY 11772-2466

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 164W00000X Primary	Description Licensed Practical Nurse Nursing Service Providers	License 307566 New York