Individual ProviderMelisha CumberlandInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address56 Franklin St, Waterbury, CT 06706-1253(203) 709-6000PECOS EnrollmentBased on the most recent information from CMS, provider Melisha Cumberland 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 3 days ago.Profile DetailsProvider ID1073704813Provider TypeIndividualFull NameCumberland, MelishaGenderFemaleSole ProprietorNoEnumeration Date8/7/2007Last Updated7/14/2014Contact InformationPractice LocationPractice Address56 Franklin St, Waterbury, CT 06706-1253Phone(203) 709-6000FaxUnlisted FaxMailing LocationMailing Address56 Franklin St, Waterbury, CT 06706-1253Phone(203) 709-6000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense50051ConnecticutCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID635099DescriptionOtherIssuerWELLCAREConnecticutIDP01117224DescriptionOtherIssuerRAILROAD MEDICAREConnecticutID1156121DescriptionOtherIssuerUSAConnecticutIDP4387957DescriptionOtherIssuerOXFORDConnecticut