Individual ProviderSamantha RelucioPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address150 55th St, Brooklyn, NY 11220-2508(718) 630-7000PECOS EnrollmentBased on the most recent information from CMS, provider Samantha Relucio 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 today at 9:43 AM.Profile DetailsProvider ID1164136651Provider TypeIndividualFull NameRelucio, SamanthaCredentialPA-CGenderFemaleSole ProprietorYesEnumeration Date1/9/2023Last Updated5/17/2023Contact InformationPractice LocationPractice Address150 55th St, Brooklyn, NY 11220-2508Phone(718) 630-7000FaxUnlisted FaxMailing LocationMailing Address150 55th St, Brooklyn, NY 11220-2508PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted Issuer