Look up the most recent NPI and PECOS records

Coral J Beccles

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

8200 Good Luck Rd, Lanham, MD 20706-3511

PECOS Enrollment

This provider is enrolled in PECOS as CORAL BECCLES.

Based on the most recent information from CMS, provider Coral J Beccles 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 today at 10:04 AM.

Profile Details

Provider ID
1063279545
Provider Type
Individual
Full Name
Beccles, Coral J
Title
Ms.
Credential
PMHNP

Gender
Female
Sole Proprietor
No
Enumeration Date
3/1/2024
Last Updated
3/1/2024

Contact Information

Practice Location

8200 Good Luck Rd, Lanham, MD 20706-3511

(301) 623-4360

Unlisted Fax

Mailing Location

8200 Good Luck Rd, Lanham, MD 20706-3511

(301) 623-4360

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LP0808X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License R230024 Maryland

Coral J Beccles

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

State Of Mind Health & Wellness, Llc

Olumese, Elizabeth Ire

Vastcare Medical Clinic

Althec Behavioral Health Services Llc

Metombe, Dieudonne

Gomez, Yvette

Doychinov, Sweetie Hope

Swarup, Shailendra

Casmir-Anyanwu, Jacinta

Metro Mental Healthcare, Llc