Individual ProviderHannah PauleyPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address987400 Nebraska Medical Center, Omaha, NE 68198-0006(402) 559-7592PECOS EnrollmentBased on the most recent information from CMS, provider Hannah Pauley 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 2 days ago.Profile DetailsProvider ID1396200754Provider TypeIndividualFull NamePauley, HannahCredentialPA-CGenderFemaleSole ProprietorNoEnumeration Date2/8/2019Last Updated4/2/2019Contact InformationPractice LocationPractice Address987400 Nebraska Medical Center, Omaha, NE 68198-0006Phone(402) 559-7592FaxUnlisted FaxMailing LocationMailing Address988102 Nebraska Medical Center, Omaha, NE 68198-8102PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense2312NebraskaCode363A00000XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense094590Iowa