Individual ProviderConnie StrouseEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address269 S Candy Ln, Cottonwood, AZ 86326(928) 639-6172(630) 653-4231PECOS EnrollmentBased on the most recent information from CMS, provider Connie Strouse 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 ID1083094239Provider TypeIndividualFull NameStrouse, ConnieGenderFemaleSole ProprietorNoEnumeration Date6/3/2015Last Updated8/23/2018Contact InformationPractice LocationPractice Address269 S Candy Ln, Cottonwood, AZ 86326Phone(928) 639-6172FaxUnlisted FaxMailing LocationMailing Address61 Park Dr Apt 8, Boston, MA 02215-5206Phone(630) 653-4231FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicense56206ArizonaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer