Individual ProviderAdam BoggsStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address128 E Apple St, 2nd Floor, Dayton, OH 45409-2902(937) 208-2004PECOS EnrollmentBased on the most recent information from CMS, provider Adam Boggs 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 8 days ago.Profile DetailsProvider ID1578095527Provider TypeIndividualFull NameBoggs, AdamGenderMaleSole ProprietorNoEnumeration Date3/29/2017Last Updated1/25/2022Contact InformationPractice LocationPractice Address128 E Apple St, 2nd Floor, Dayton, OH 45409-2902Phone(937) 208-2004Fax(937) 208-8828Mailing LocationMailing Address128 E Apple St, 2nd Floor, Dayton, OH 45409-2902PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer