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Brendan Arthur Hoover

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

3400 Spruce St, Philadelphia, PA 19104

PECOS Enrollment

This provider is enrolled in PECOS as BRENDAN HOOVER.

Based on the most recent information from CMS, provider Brendan Arthur Hoover is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1619336658
Provider Type
Individual
Full Name
Hoover, Brendan Arthur
Credential
PA-C

Gender
Male
Sole Proprietor
No
Enumeration Date
2/18/2016
Last Updated
9/6/2018

Contact Information

Practice Location

3400 Spruce St, Philadelphia, PA 19104

(215) 349-8310

Unlisted Fax

Mailing Location

3400 Spruce St, Philadelphia, PA 19104-4238

(215) 349-8310

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA031223 District of Columbia

Brendan Arthur Hoover

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Taylor, Kai

Atwell, Deborah Lynn

Hug, Emily

Diiorio, Cassandra Kate

Lopez, Leah M

Davis, Alyssa

Grubb, Emily

Shah, Jaimin J

Meehan, Debra A.

Papini-Tennyson, Christina L