Individual ProviderMeldy TaswinInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address2930 Maple St, Everett, WA 98201-2823(425) 261-1500PECOS EnrollmentBased on the most recent information from CMS, provider Meldy Taswin 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 ID1649213364Provider TypeIndividualFull NameTaswin, MeldyCredentialMDGenderFemaleSole ProprietorNoEnumeration Date6/13/2006Last Updated5/4/2021Contact InformationPractice LocationPractice Address2930 Maple St, Everett, WA 98201-2823Phone(425) 261-1500FaxUnlisted FaxMailing LocationMailing Address2930 Maple St, Everett, WA 98201-2823PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseMD00044587WashingtonProvider IdentifiersIDDescriptionIssuerID1982TADescriptionOtherIssuerREGENCE RIDER NUMBERWashingtonID911203494CBDescriptionOtherIssuerKPS PROVIDER NUMBERWashingtonID7227623DescriptionOtherIssuerAETNA PROVIDER NUMBERWashingtonID0197417DescriptionOtherIssuerL & I PROVIDER NUMBERWashingtonID8425829DescriptionMedicaidIssuerUnlistedWashingtonID98390B030DescriptionOtherIssuerTRICARE PROVIDER NUMBERWashington