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Sydney Marie Sousa

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

This provider is enrolled in PECOS as SYDNEY SOUSA.

Based on the most recent information from CMS, provider Sydney Marie Sousa 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 2:35 PM.

Profile Details

Provider ID
1588442644
Provider Type
Individual
Full Name
Sousa, Sydney Marie
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
9/20/2023
Last Updated
6/16/2025

Contact Information

Practice Location

33 Sewall St, Portland, ME 04102-2603

(207) 828-2100

Unlisted Fax

Mailing Location

33 Sewall St, Portland, ME 04102-2603

(207) 828-2100

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer

Sydney Marie Sousa

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Mccrossin, Megan A

Alley, Ian

Traver, Alison Hastings

Bothel, Cody

Lebourdais, Laura Ann

Nason, Joshua

Neubauer, David L

Guerrette, Sarah Mae

Mehler, Laura Kolker

Troubh, Bonnie Jill