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Phyllis Edusei-Poku

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

451 Clarkson Ave, Brooklyn, NY 11203-2054

PECOS Enrollment

Based on the most recent information from CMS, provider Phyllis Edusei-Poku 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 2 days ago.

Profile Details

Provider ID
1821540055
Provider Type
Individual
Full Name
Edusei-Poku, Phyllis
Credential
MSN, FNP, BC

Gender
Female
Sole Proprietor
No
Enumeration Date
11/4/2016
Last Updated
11/4/2016

Contact Information

Practice Location

451 Clarkson Ave, Brooklyn, NY 11203-2054

(718) 245-3131

Unlisted Fax

Mailing Location

451 Clarkson Ave, Brooklyn, NY 11203-2054

(718) 245-3131

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License F340193-1 New York

Phyllis Edusei-Poku

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Lowtan, Mohandai Roma

Charles, Anemari M

Sherwood, Jeannine Marguerite

Ortiz-Wade, Marva Teresa

Phillip, Ashley Nicole

Colvert, Marie Denise

Duncan - Anderson, Debra A

Miller, Stephnie

Peters, Rosamund

Shepherd, Latasha Patrina