Individual ProviderSushama PrasadNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address6200 SW 73rd St # 69, South Miami, FL 33143-4679(786) 662-5465PECOS EnrollmentBased on the most recent information from CMS, provider Sushama Prasad 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 4 days ago.Profile DetailsProvider ID1093254385Provider TypeIndividualFull NamePrasad, SushamaCredentialARNPGenderFemaleSole ProprietorNoEnumeration Date2/20/2017Last Updated2/20/2017Contact InformationPractice LocationPractice Address6200 SW 73rd St # 69, South Miami, FL 33143-4679Phone(786) 662-5465Fax(786) 662-5334Mailing LocationMailing Address6200 SW 73rd St # 69, South Miami, FL 33143-4679Phone(786) 662-5465Fax(786) 662-5334Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseARNP9262181Florida