Individual ProviderVanishree Sooppersaud-BacchusNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address451 Clarkson Avenue, Brooklyn, NY 11203(718) 245-2982PECOS EnrollmentBased on the most recent information from CMS, provider Vanishree Sooppersaud-Bacchus 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 ID1619223682Provider TypeIndividualFull NameSooppersaud-Bacchus, VanishreeTitleMrs.CredentialFNP-BCGenderFemaleSole ProprietorYesEnumeration Date7/27/2012Last Updated7/27/2012Contact InformationPractice LocationPractice Address451 Clarkson Avenue, Brooklyn, NY 11203Phone(718) 245-2982Fax(718) 245-3729Mailing LocationMailing Address451 Clarkson Avenue, Brooklyn, NY 11203Phone(718) 245-2982Fax(718) 245-3729Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseF335869-1New York