Individual ProviderRachel VinesPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address619 19th St S, Birmingham, AL 35249-4159(205) 934-4011(205) 731-9701PECOS EnrollmentBased on the most recent information from CMS, provider Rachel Vines 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 5 days ago.Profile DetailsProvider ID1710548946Provider TypeIndividualFull NameVines, RachelCredentialPAGenderFemaleSole ProprietorNoEnumeration Date6/27/2019Last Updated9/19/2022Contact InformationPractice LocationPractice Address619 19th St S, Birmingham, AL 35249-4159Phone(205) 934-4011FaxUnlisted FaxMailing LocationMailing AddressPO Box 55310, Birmingham, AL 35255-5310Phone(205) 731-9701FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicensePA1473Alabama