Look up the most recent NPI and PECOS records

Bethann Freeman

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

1901 W Harrison St, Chicago, IL 60612-3714

PECOS Enrollment

Based on the most recent information from CMS, provider Bethann Freeman 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 3 days ago.

Profile Details

Provider ID
1902928286
Provider Type
Individual
Full Name
Freeman, Bethann
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
4/6/2007
Last Updated
4/23/2021

Contact Information

Practice Location

1901 W Harrison St, Chicago, IL 60612-3714

(312) 864-1069

Unlisted Fax

Mailing Location

6755 N Washtenaw Ave, Chicago, IL 60645-4510

(773) 317-3616

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 85002584 Illinois

Bethann Freeman

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Patel, Dipalei H

Lukic, Nikola Aleksandar

English, Alexandra Bess

Less, Diane Maria

Roy, Anne Heller

Scott, Elizabeth

Mentzer, Aaron

Arens, Stacy Lynn

Blumstein, Alyssa

Megchelsen, Rebecca