Individual ProviderRebecca MegchelsenPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1969 W Ogden Ave, Chicago, IL 60612-3765(312) 864-6000(319) 359-6546PECOS EnrollmentBased on the most recent information from CMS, provider Rebecca Megchelsen 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 3 days ago.Profile DetailsProvider ID1609334101Provider TypeIndividualFull NameMegchelsen, RebeccaCredentialPA-CGenderFemaleSole ProprietorNoEnumeration Date3/4/2019Last Updated4/27/2021Contact InformationPractice LocationPractice Address1969 W Ogden Ave, Chicago, IL 60612-3765Phone(312) 864-6000FaxUnlisted FaxMailing LocationMailing Address120 W Shannon St, Elburn, IL 60119-8220Phone(319) 359-6546FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense085.006931Illinois