Individual ProviderStephanie KayserNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address22619 Millenbach St, Saint Clair Shores, MI 48081-2598(248) 508-9555PECOS EnrollmentBased on the most recent information from CMS, provider Stephanie Kayser 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 yesterday at 12:57 PM.Profile DetailsProvider ID1760031645Provider TypeIndividualFull NameKayser, StephanieGenderFemaleSole ProprietorNoEnumeration Date9/4/2019Last Updated9/4/2019Contact InformationPractice LocationPractice Address22619 Millenbach St, Saint Clair Shores, MI 48081-2598Phone(248) 508-9555FaxUnlisted FaxMailing LocationMailing Address22619 Millenbach St, Saint Clair Shores, MI 48081-2598Phone(248) 508-9555FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense4704304105Michigan