Individual ProviderJocelyn MckeithanPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address150 55th Street, Brooklyn, NY 11220-2559(718) 630-7185(908) 240-8142PECOS EnrollmentBased on the most recent information from CMS, provider Jocelyn Mckeithan 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 today at 9:43 AM.Profile DetailsProvider ID1407160484Provider TypeIndividualFull NameMckeithan, JocelynTitleMs.GenderFemaleSole ProprietorNoEnumeration Date8/2/2010Last Updated2/23/2026Contact InformationPractice LocationPractice Address150 55th Street, Brooklyn, NY 11220-2559Phone(718) 630-7185FaxUnlisted FaxMailing LocationMailing Address606 Broadway, Paterson, NJ 07514-1916Phone(908) 240-8142Fax(908) 240-8142Provider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseMA066167PennsylvaniaCode363A00000XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense014052New YorkProvider IdentifiersIDDescriptionIssuerID104438717-0001DescriptionMedicaidIssuerUnlistedPennsylvania