Individual ProviderLeila RebaiPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address271 Carew St, Springfield, MA 01104-2377(413) 748-9137PECOS EnrollmentBased on the most recent information from CMS, provider Leila Rebai 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 11:47 AM.Profile DetailsProvider ID1164838389Provider TypeIndividualFull NameRebai, LeilaTitleMissCredentialPAC, MSGenderFemaleSole ProprietorNoEnumeration Date7/8/2014Last Updated2/5/2023Contact InformationPractice LocationPractice Address271 Carew St, Springfield, MA 01104-2377Phone(413) 748-9137FaxUnlisted FaxMailing LocationMailing Address271 Carew St, Springfield, MA 01104-2377Phone(413) 748-9137FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363AM0700XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense7479MassachusettsCode207P00000XDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicense7479MassachusettsCode363AM0700XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense3121Connecticut