Individual ProviderManpreet KaurPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1528 Eureka Rd Ste 103, Roseville, CA 95661-3047(916) 772-5325PECOS EnrollmentBased on the most recent information from CMS, provider Manpreet Kaur 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 ID1811650385Provider TypeIndividualFull NameKaur, ManpreetGenderFemaleSole ProprietorYesEnumeration Date10/20/2021Last Updated6/2/2024Contact InformationPractice LocationPractice Address1528 Eureka Rd Ste 103, Roseville, CA 95661-3047Phone(916) 772-5325FaxUnlisted FaxMailing LocationMailing Address6304 Smith Ave, Newark, CA 94560-4543PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicensePA60555CaliforniaCode363A00000XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted Issuer