Individual ProviderTeanika ChamberlainSocial WorkerBehavioral Health & Social Service ProvidersPractice Address9 W Prospect Ave # 4th, Mount Vernon, NY 10550-2018(914) 632-6757PECOS EnrollmentBased on the most recent information from CMS, provider Teanika Chamberlain is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1427489434Provider TypeIndividualFull NameChamberlain, TeanikaTitleMs.GenderFemaleSole ProprietorYesEnumeration Date12/2/2013Last Updated7/6/2022Contact InformationPractice LocationPractice Address9 W Prospect Ave # 4th, Mount Vernon, NY 10550-2018Phone(914) 632-6757FaxUnlisted FaxMailing LocationMailing Address9 W Prospect Ave # 4th, Mount Vernon, NY 10550-2018PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense087086New York