Individual ProviderBenneth EkweNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address10207 Chautauqua Ave, Lanham, MD 20706-2038(443) 877-9551(202) 489-2992PECOS EnrollmentBased on the most recent information from CMS, provider Benneth Ekwe 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 ID1114690096Provider TypeIndividualFull NameEkwe, BennethTitleDr.GenderMaleSole ProprietorYesEnumeration Date7/27/2021Last Updated7/27/2021Contact InformationPractice LocationPractice Address10207 Chautauqua Ave, Lanham, MD 20706-2038Phone(443) 877-9551FaxUnlisted FaxMailing LocationMailing Address1309 Northern Lights Dr, Upper Marlboro, MD 20774-6056Phone(202) 489-2992FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LP0808XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense162906Maryland