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Emily Mason

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

2901 W Kk River Pkwy Ste 507, Milwaukee, WI 53215-3660

PECOS Enrollment

Based on the most recent information from CMS, provider Emily Mason 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 yesterday at 11:26 AM.

Profile Details

Provider ID
1245892124
Provider Type
Individual
Full Name
Mason, Emily
Title
Mrs.
Credential
PA

Gender
Female
Sole Proprietor
No
Enumeration Date
7/1/2019
Last Updated
12/2/2021

Contact Information

Practice Location

2901 W Kk River Pkwy Ste 507, Milwaukee, WI 53215-3660

(414) 649-3780

Unlisted Fax

Mailing Location

2901 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3677

(414) 649-3780

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 4740-23 Wisconsin

Emily Mason

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Scaletta, Giuseppa

Heyrman, Jessica

Smith, Jerry Wayne

Patterson, Katrina

Kannenberg, Kelsey

Anderson, Garrett B

Mcgee, Samuel P

Beres, Elise Marie

Rongstad, Lindsey

Kreisler, Todd G