Individual ProviderSergio Magana AvilaInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address4500 Parsons Blvd, Flushing, NY 11355(442) 236-8969PECOS EnrollmentBased on the most recent information from CMS, provider Sergio Magana Avila 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 ID1881276400Provider TypeIndividualFull NameMagana Avila, SergioCredentialMDGenderMaleSole ProprietorNoEnumeration Date4/23/2021Last Updated6/30/2024Contact InformationPractice LocationPractice Address4500 Parsons Blvd, Flushing, NY 11355Phone(442) 236-8969FaxUnlisted FaxMailing LocationMailing Address12 E 2nd St # 25205, Calexico, CA 92231-2618PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense412787California