Individual ProviderKerrin BecklesLicensed Practical NurseNursing Service ProvidersPractice Address120 Maple Ave, Patchogue, NY 11772-2606(631) 294-9319PECOS EnrollmentBased on the most recent information from CMS, provider Kerrin Beckles does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1871999524Provider TypeIndividualFull NameBeckles, KerrinTitleMrs.CredentialLPNGenderFemaleSole ProprietorYesEnumeration Date11/7/2014Last Updated11/7/2014Contact InformationPractice LocationPractice Address120 Maple Ave, Patchogue, NY 11772-2606Phone(631) 294-9319FaxUnlisted FaxMailing LocationMailing Address120 Maple Ave, Patchogue, NY 11772-2606Phone(631) 294-9319FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense319924-1New York