Individual ProviderDeborah WhitesideSpecialistOther Service ProvidersPractice Address4075 Monroeville Blvd, Suite 220, Monroeville, PA 15146-2525(412) 372-6262PECOS EnrollmentBased on the most recent information from CMS, provider Deborah Whiteside 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 ID1689634156Provider TypeIndividualFull NameWhiteside, DeborahGenderFemaleSole ProprietorNoEnumeration Date3/27/2006Last Updated3/25/2021Contact InformationPractice LocationPractice Address4075 Monroeville Blvd, Suite 220, Monroeville, PA 15146-2525Phone(412) 372-6262FaxUnlisted FaxMailing LocationMailing Address4075 Monroeville Blvd, Suite 220, Monroeville, PA 15146-2525PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicenseMD062896LPennsylvania