Individual ProviderJoseph ImpastatoPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1514 Jefferson Hwy, New Orleans, LA 70121-2429(504) 842-3460PECOS EnrollmentBased on the most recent information from CMS, provider Joseph Impastato 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 12:57 PM.Profile DetailsProvider ID1841628880Provider TypeIndividualFull NameImpastato, JosephTitleMr.CredentialPA-CGenderMaleSole ProprietorYesEnumeration Date10/30/2013Last Updated8/27/2014Contact InformationPractice LocationPractice Address1514 Jefferson Hwy, New Orleans, LA 70121-2429Phone(504) 842-3460FaxUnlisted FaxMailing LocationMailing Address1514 Jefferson Hwy, New Orleans, LA 70121-2429Phone(504) 842-3460FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363AM0700XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicensePA.200672LouisianaProvider IdentifiersIDDescriptionIssuerID2347934DescriptionMedicaidIssuerUnlistedLouisianaID02378867DescriptionMedicaidIssuerUnlistedMississippi