Individual ProviderJean Marie De BarrosPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address16147 Lancaster Hwy, Suite 120, Charlotte, NC 28277-2050(704) 243-7106PECOS EnrollmentBased on the most recent information from CMS, provider Jean Marie De Barros 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 ID1629153846Provider TypeIndividualFull NameDe Barros, Jean MarieCredentialPAGenderFemaleSole ProprietorNoEnumeration Date10/26/2006Last Updated6/19/2012Contact InformationPractice LocationPractice Address16147 Lancaster Hwy, Suite 120, Charlotte, NC 28277-2050Phone(704) 243-7106FaxUnlisted FaxMailing LocationMailing Address16147 Lancaster Hwy, Suite 120, Charlotte, NC 28277-2050Phone(704) 243-7106FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense0010-02161North Carolina