Individual ProviderSamantha AhoFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address1601 Owen Dr, Fayetteville, NC 28304-3425(910) 678-0100PECOS EnrollmentBased on the most recent information from CMS, provider Samantha Aho 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 5 days ago.Profile DetailsProvider ID1780175570Provider TypeIndividualFull NameAho, SamanthaCredentialD.O.GenderFemaleSole ProprietorNoEnumeration Date5/29/2018Last Updated5/29/2018Contact InformationPractice LocationPractice Address1601 Owen Dr, Fayetteville, NC 28304-3425Phone(910) 678-0100Fax(910) 678-0115Mailing LocationMailing Address1601 Owen Dr, Fayetteville, NC 28304-3425Phone(910) 678-0100Fax(910) 678-0115Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense237771North Carolina