Individual ProviderHope KoramCounselorBehavioral Health & Social Service ProvidersPractice Address15 Carberry St, Medford, MA 02155-1804(617) 756-6267PECOS EnrollmentBased on the most recent information from CMS, provider Hope Koram is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:04 AM.Profile DetailsProvider ID1033768718Provider TypeIndividualFull NameKoram, HopeGenderFemaleSole ProprietorYesEnumeration Date9/5/2019Last Updated9/5/2019Contact InformationPractice LocationPractice Address15 Carberry St, Medford, MA 02155-1804Phone(617) 756-6267FaxUnlisted FaxMailing LocationMailing Address15 Carberry St, Medford, MA 02155-1804Phone(617) 756-6267FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer