Individual ProviderGifty MaasangNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address375 Wampanoag Trl, Riverside, RI 02915-2232(401) 649-4010(401) 443-4992PECOS EnrollmentBased on the most recent information from CMS, provider Gifty Maasang 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 12:57 PM.Profile DetailsProvider ID1972213411Provider TypeIndividualFull NameMaasang, GiftyCredentialNPGenderFemaleSole ProprietorNoEnumeration Date11/23/2022Last Updated5/29/2024Contact InformationPractice LocationPractice Address375 Wampanoag Trl, Riverside, RI 02915-2232Phone(401) 649-4010Fax(401) 649-4011Mailing LocationMailing AddressDept 3010, PO Box 986524, Boston, MA 02298-6524Phone(401) 443-4992Fax(401) 537-7241Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAPRN03334Rhode Island