Individual ProviderJoseph YeboahNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address7695 Poe Ave, Dayton, OH 45414-2552(216) 750-2600(513) 942-4555PECOS EnrollmentBased on the most recent information from CMS, provider Joseph Yeboah 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 yesterday at 10:47 AM.Profile DetailsProvider ID1154998359Provider TypeIndividualFull NameYeboah, JosephGenderMaleSole ProprietorYesEnumeration Date6/7/2021Last Updated6/7/2021Contact InformationPractice LocationPractice Address7695 Poe Ave, Dayton, OH 45414-2552Phone(216) 750-2600FaxUnlisted FaxMailing LocationMailing Address10296 Springfield Pike Ste 500, Cincinnati, OH 45215-1194Phone(513) 942-4555FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LP0808XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense0028947OhioProvider IdentifiersIDDescriptionIssuerID2910854DescriptionMedicaidIssuerUnlistedOhio