Individual ProviderChristopher HanseboutStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address600 N Wolfe St, Department Of Anesthesiology And Critical Care Medicine, Baltimore, MD 21287(410) 287-6490PECOS EnrollmentBased on the most recent information from CMS, provider Christopher Hansebout 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 ID1639585268Provider TypeIndividualFull NameHansebout, ChristopherGenderMaleSole ProprietorNoEnumeration Date7/2/2014Last Updated7/1/2018Contact InformationPractice LocationPractice Address600 N Wolfe St, Department Of Anesthesiology And Critical Care Medicine, Baltimore, MD 21287Phone(410) 287-6490FaxUnlisted FaxMailing LocationMailing Address600 N Wolfe St, Department Of Anesthesiology And Critical Care Medicine, Baltimore, MD 21287-0005Phone(410) 287-6490FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer