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Meena Patel Dave

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

350 Pine State St, Lillington, NC 27546-9428

PECOS Enrollment

This provider is enrolled in PECOS as MEENA DAVE.

Based on the most recent information from CMS, provider Meena Patel Dave 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
1851421390
Provider Type
Individual
Full Name
Dave, Meena Patel
Title
Mrs.
Credential
PHYSICIANS ASSISTANT

Gender
Female
Sole Proprietor
No
Enumeration Date
3/6/2007
Last Updated
8/3/2010

Contact Information

Practice Location

350 Pine State St, Lillington, NC 27546-9428

(910) 893-9700

(910) 893-9747

Mailing Location

207 Kalvesta Drive, Morrisville, NC 27560

(919) 656-4905

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 101946 North Carolina

Provider Identifiers

ID	Description	Issuer
ID 101946	Description Other	Issuer PA LICENSE # North Carolina

Meena Patel Dave

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Beitzel, Melissa Blakely

Ortiz, Nicole

Torres, Monique

Glass, Grace

Irwin, Hope

Bentley, Justin

Heavner, Aydan Luke

Johnson, Tiy

Ovens, Leonard R.

Debetta, Johnathan Donald