Individual ProviderElizabeth McdowellPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address190 E Bannock St, Ste 104, Boise, ID 83712-6241(208) 381-5500PECOS EnrollmentBased on the most recent information from CMS, provider Elizabeth Mcdowell 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 9:43 AM.Profile DetailsProvider ID1770640062Provider TypeIndividualFull NameMcdowell, ElizabethCredentialPACGenderFemaleSole ProprietorNoEnumeration Date1/3/2007Last Updated9/22/2015Contact InformationPractice LocationPractice Address190 E Bannock St, Ste 104, Boise, ID 83712-6241Phone(208) 381-5500FaxUnlisted FaxMailing LocationMailing Address190 E Bannock St, Boise, ID 83712-6241Phone(208) 381-5500FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicensePA10005328WashingtonProvider IdentifiersIDDescriptionIssuerID8502999DescriptionMedicaidIssuerUnlistedWashington