Individual ProviderRachelle IfillNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address451 Clarkson Ave, Brooklyn, NY 11203-2054(718) 245-3131(718) 812-3079PECOS EnrollmentBased on the most recent information from CMS, provider Rachelle Ifill 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 ID1659099372Provider TypeIndividualFull NameIfill, RachelleCredentialNPGenderFemaleSole ProprietorYesEnumeration Date8/18/2022Last Updated8/18/2022Contact InformationPractice LocationPractice Address451 Clarkson Ave, Brooklyn, NY 11203-2054Phone(718) 245-3131FaxUnlisted FaxMailing LocationMailing Address335 Norfeld Blvd, Elmont, NY 11003-3638Phone(718) 812-3079FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense340971New York