Individual ProviderIrene O SegarraPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address22 Bramhall St, Portland, ME 04102-3134(207) 662-3428PECOS EnrollmentBased on the most recent information from CMS, provider Irene O Segarra 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 yesterday at 2:35 PM.Profile DetailsProvider ID1760581391Provider TypeIndividualFull NameSegarra, Irene OTitleMs.CredentialPA-CGenderFemaleSole ProprietorYesEnumeration Date9/21/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address22 Bramhall St, Portland, ME 04102-3134Phone(207) 662-3428Fax(207) 662-6783Mailing LocationMailing Address22 Bramhall St, Portland, ME 04102-3134Phone(207) 662-3428Fax(207) 662-6783Provider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicensePA-837Maine