OrganizationMehta Medical ServicesFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address518 Sandhurst Dr, Fayetteville, NC 28304-4426(910) 323-4091PECOS EnrollmentBased on the most recent information from CMS, provider Mehta Medical Services does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1730351073Provider TypeOrganizationFull NameMehta Medical ServicesSubpartNoEnumeration Date3/27/2008Last Updated3/27/2008Contact InformationPractice LocationPractice Address518 Sandhurst Dr, Fayetteville, NC 28304-4426Phone(910) 323-4091Fax(910) 323-4092Mailing LocationMailing AddressPO Box 87169, Fayetteville, NC 28304-7169Phone(910) 323-4091Fax(910) 323-4092Authorized OfficialNameMehta, Hasumati V (President)Phone(910) 323-4091Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense20167North CarolinaProvider IdentifiersIDDescriptionIssuerID208795DescriptionOtherIssuerMEDICARE INDIVIDUALNorth CarolinaID8958493DescriptionMedicaidIssuerUnlistedNorth CarolinaID02145DescriptionOtherIssuerBCBS GROUPNorth CarolinaID0323DescriptionOtherIssuerMEDICARE GROUPNorth Carolina