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Susan R Becker

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

999 N 92nd Street, Suite 320, Milwaukee, WI 53226

PECOS Enrollment

This provider is enrolled in PECOS as SUSAN BECKER.

Based on the most recent information from CMS, provider Susan R Becker 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 2 days ago.

Profile Details

Provider ID
1215248166
Provider Type
Individual
Full Name
Becker, Susan R
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
6/25/2010
Last Updated
5/3/2019

Contact Information

Practice Location

999 N 92nd Street, Suite 320, Milwaukee, WI 53226

(414) 266-6550

(414) 266-6579

Mailing Location

999 N 92nd Street, Suite 320, Milwaukee, WI 53226

(414) 266-6550

(414) 266-6579

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 2588 Wisconsin

Susan R Becker

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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