Individual ProviderMohanad ShehadehStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address1561 Long Pond Rd Ste 206, Rochester, NY 14626-4135(585) 368-4800(585) 723-7746PECOS EnrollmentBased on the most recent information from CMS, provider Mohanad Shehadeh 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 2 days ago.Profile DetailsProvider ID1598442329Provider TypeIndividualFull NameShehadeh, MohanadCredentialMDGenderMaleSole ProprietorNoEnumeration Date7/3/2023Last Updated7/3/2023Contact InformationPractice LocationPractice Address1561 Long Pond Rd Ste 206, Rochester, NY 14626-4135Phone(585) 368-4800Fax(585) 368-4815Mailing LocationMailing Address1555 Long Pond Rd, Rochester, NY 14626-4164Phone(585) 723-7746Fax(585) 723-7834Provider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer