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Patricia L Habdas

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

4815 Liberty Ave Ste 439, Pittsburgh, PA 15224-2156

PECOS Enrollment

This provider is enrolled in PECOS as PATRICIA HABDAS.

Based on the most recent information from CMS, provider Patricia L Habdas 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 yesterday at 10:04 AM.

Profile Details

Provider ID
1063959245
Provider Type
Individual
Full Name
Habdas, Patricia L
Credential
CRNP

Gender
Female
Sole Proprietor
No
Enumeration Date
1/25/2017
Last Updated
9/30/2020

Contact Information

Practice Location

4815 Liberty Ave Ste 439, Pittsburgh, PA 15224-2156

(412) 578-3925

(412) 605-6367

Mailing Location

4815 Liberty Ave Ste 439, Pittsburgh, PA 15224-2156

(412) 578-3925

(412) 605-6367

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License SP016988 Pennsylvania

Provider Identifiers

ID	Description	Issuer
ID 103272642	Description Medicaid	Issuer Unlisted Pennsylvania
ID 13993991	Description Other	Issuer CAQH

Patricia L Habdas

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Imhof, Audrey Marie

Dean, Nicole Marie

Aber, Amanda

Hatam, Behnam Lee

Brinkley, Elizabeth Brownlee

Carse, Debra Sue

Macdonald, Gabrielle Elizabeth

Brennan, Christine Anne

Meuser, Kelsey Anne

Cullen, Jacqueline Marie