Individual ProviderGwenevere HarrisNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice AddressSc House Calls Inc, 111 Doctors Circle, Columbia, SC 29203(800) 491-0909PECOS EnrollmentBased on the most recent information from CMS, provider Gwenevere Harris 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 ID1427762152Provider TypeIndividualFull NameHarris, GwenevereCredentialAPRNGenderFemaleSole ProprietorNoEnumeration Date1/9/2023Last Updated2/22/2023Contact InformationPractice LocationPractice AddressSc House Calls Inc, 111 Doctors Circle, Columbia, SC 29203Phone(800) 491-0909FaxUnlisted FaxMailing LocationMailing AddressSc House Calls Inc, 111 Doctors Circle, Columbia, SC 29203Phone(800) 491-0909FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense27074South CarolinaCode363LF0000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseF07220807South Carolina