Individual ProviderMichelle SuarezPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address475 Seaview Ave, Staten Island, NY 10305-3436(718) 226-9158(718) 226-4324PECOS EnrollmentBased on the most recent information from CMS, provider Michelle Suarez 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 ID1720211352Provider TypeIndividualFull NameSuarez, MichelleCredentialPA-CGenderFemaleSole ProprietorNoEnumeration Date8/31/2009Last Updated11/23/2019Contact InformationPractice LocationPractice Address475 Seaview Ave, Staten Island, NY 10305-3436Phone(718) 226-9158FaxUnlisted FaxMailing LocationMailing Address1 Edgewater St, 6th Floor, Staten Island, NY 10305-4900Phone(718) 226-4324Fax(718) 226-1039Provider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense013388New YorkProvider IdentifiersIDDescriptionIssuerID03234439DescriptionMedicaidIssuerUnlistedNew York