Individual ProviderJenny HoangRadiologyAllopathic & Osteopathic PhysiciansPractice Address600 N Wolfe Street, Phipps B100, Baltimore, MD 21287(410) 614-1213(410) 933-6423PECOS EnrollmentBased on the most recent information from CMS, provider Jenny Hoang 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 ID1861618688Provider TypeIndividualFull NameHoang, JennyTitleDr.CredentialMD MBBSGenderFemaleSole ProprietorNoEnumeration Date4/18/2007Last Updated8/11/2021Contact InformationPractice LocationPractice Address600 N Wolfe Street, Phipps B100, Baltimore, MD 21287Phone(410) 614-1213FaxUnlisted FaxMailing LocationMailing Address6201 Greenleigh Ave, Middle River, MD 21220-2004Phone(410) 933-6423FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicenseD87268MarylandCode2085R0202XDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicense2007-00003North CarolinaProvider IdentifiersIDDescriptionIssuerID06850010DescriptionOtherIssuerECFMG