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Mary Kaminski

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

3400 Spruce St, 4 Silverstein Building, Philadelphia, PA 19104-4206

(215) 662-2050

PECOS Enrollment

Based on the most recent information from CMS, provider Mary Kaminski is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1710051347
Provider Type
Individual
Full Name
Kaminski, Mary
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
11/17/2006
Last Updated
2/23/2011

Contact Information

Practice Location

3400 Spruce St, 4 Silverstein Building, Philadelphia, PA 19104-4206

(215) 662-2050

Unlisted Fax

Mailing Location

3400 Spruce St, 4 Silverstein Bldg, Philadelphia, PA 19104-4206

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License MA050649 Pennsylvania

Mary Kaminski

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Kratz, Kathleen M

Patel, Hetal K

Torchin, Laura Lee

Monterrosa, Christina

Wright, Megan

Davis, Alyssa

Atchison, Samantha Michelle

Brookes, Peter James

Dymond, Daniel James

Barwin, Laura