Individual ProviderMercy Ofosu AmeyawNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address10214 Stagecoach Dr, Hagerstown, MD 21740-1583(240) 469-5394PECOS EnrollmentBased on the most recent information from CMS, provider Mercy Ofosu Ameyaw 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 yesterday at 10:14 AM.Profile DetailsProvider ID1932796984Provider TypeIndividualFull NameOfosu Ameyaw, MercyCredentialCRNP-PMH, PMHNP-BCGenderFemaleSole ProprietorYesEnumeration Date12/23/2020Last Updated12/23/2020Contact InformationPractice LocationPractice Address10214 Stagecoach Dr, Hagerstown, MD 21740-1583Phone(240) 469-5394FaxUnlisted FaxMailing LocationMailing Address10214 Stagecoach Dr, Hagerstown, MD 21740-1583PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LP0808XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseR193215Maryland