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Courtney C. Macleod

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

15 Captains Lndg, Portland, ME 04102-1961

PECOS Enrollment

This provider is enrolled in PECOS as COURTNEY MACLEOD.

Based on the most recent information from CMS, provider Courtney C. Macleod is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 2:35 PM.

Profile Details

Provider ID
1760824270
Provider Type
Individual
Full Name
Macleod, Courtney C.
Credential
PA-C

Gender
Female
Sole Proprietor
Yes
Enumeration Date
7/25/2013
Last Updated
4/17/2014

Contact Information

Practice Location

15 Captains Lndg, Portland, ME 04102-1961

(207) 831-5169

Unlisted Fax

Mailing Location

15 Captains Lndg, Portland, ME 04102-1961

(207) 831-5169

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA1418 Maine

Courtney C. Macleod

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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