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Cheryl E Caudill

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

4810 Belmar Blvd, Wall Township, NJ 07753-6952

PECOS Enrollment

This provider is enrolled in PECOS as CHERYL CAUDILL.

Based on the most recent information from CMS, provider Cheryl E Caudill 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 6 days ago.

Profile Details

Provider ID
1164725743
Provider Type
Individual
Full Name
Caudill, Cheryl E
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
12/21/2010
Last Updated
11/12/2024

Contact Information

Practice Location

4810 Belmar Blvd, Wall Township, NJ 07753-6952

(732) 938-6090

(732) 938-5680

Mailing Location

331 Newman Springs Rd Ste 220, Red Bank, NJ 07701-5792

(732) 807-0877

(201) 751-1680

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 25MP00357400 New Jersey
Code 363A00000X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA1094917 Florida
Code 363AS0400X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 25MP00357400 New Jersey

Cheryl E Caudill

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

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