Individual ProviderTimothy De OcejoEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address1872 St Lukes Blvd, Easton, PA 18045-5669(484) 526-1000PECOS EnrollmentBased on the most recent information from CMS, provider Timothy De Ocejo 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 ID1366186983Provider TypeIndividualFull NameDe Ocejo, TimothyTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date4/21/2022Last Updated1/15/2025Contact InformationPractice LocationPractice Address1872 St Lukes Blvd, Easton, PA 18045-5669Phone(484) 526-1000FaxUnlisted FaxMailing LocationMailing Address1700 St Lukes Blvd Ste 402, Easton, PA 18045-5670Phone(484) 526-1000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicenseMD487813Pennsylvania