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Nicholas Ovanda Meo

Hospitalist

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as NICHOLAS MEO.

Based on the most recent information from CMS, provider Nicholas Ovanda Meo 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 9:59 AM.

Profile Details

Provider ID
1154620839
Provider Type
Individual
Full Name
Meo, Nicholas Ovanda
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
3/21/2011
Last Updated
12/19/2017

Contact Information

Practice Location

325 9th Ave, Seattle, WA 98104-2420

(206) 744-3000

Unlisted Fax

Mailing Location

PO Box 50095, Seattle, WA 98145-5095

(206) 520-5700

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208M00000X Primary	Description Hospitalist Allopathic & Osteopathic Physicians	License MD60381409 Washington
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License MD60381409 Washington

Provider Identifiers

ID	Description	Issuer
ID 1154620839	Description Medicaid	Issuer Unlisted Washington

Nicholas Ovanda Meo

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Deslauriers, Nicholas Reid

Levitt, David Stern

Asmeche, Habtam

Ejara, Ermias Diro

Jensen, Kelly Elysia

Kasinathan, Bhavatharini

Ellingson, Sonja Marie

Sunq, Abby M

Huml, Isaac E

Best, Jennifer A