Individual ProviderEmilie FadalePhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address200 Lothrop St, Pittsburgh, PA 15213-2546(412) 647-3087(412) 647-6000PECOS EnrollmentBased on the most recent information from CMS, provider Emilie Fadale 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 2 days ago.Profile DetailsProvider ID1780638486Provider TypeIndividualFull NameFadale, EmilieCredentialPAGenderFemaleEnumeration Date5/19/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address200 Lothrop St, Pittsburgh, PA 15213-2546Phone(412) 647-3087FaxUnlisted FaxMailing LocationMailing Address200 Lothrop St, Pittsburgh, PA 15213-2546Phone(412) 647-6000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363AM0700XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseMA052485Pennsylvania