Individual ProviderYuliya HarePhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1140 Exposition Blvd Ste 700, Sacramento, CA 95815-4334(916) 333-2542(916) 533-2319PECOS EnrollmentBased on the most recent information from CMS, provider Yuliya Hare 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 ID1164184792Provider TypeIndividualFull NameHare, YuliyaTitleMrs.CredentialP.A.-C.GenderFemaleSole ProprietorYesEnumeration Date10/11/2021Last Updated1/17/2024Contact InformationPractice LocationPractice Address1140 Exposition Blvd Ste 700, Sacramento, CA 95815-4334Phone(916) 333-2542FaxUnlisted FaxMailing LocationMailing Address2734 Mendonca Dr, Rancho Cordova, CA 95670-4819Phone(916) 533-2319FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicensePA60208CaliforniaCode363A00000XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted Issuer