Individual ProviderAnn P ScottPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1155 N Mayfair Rd, Plank Road Clinic, Milwaukee, WI 53226-3421(414) 955-5990PECOS EnrollmentBased on the most recent information from CMS, provider Ann P Scott does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1437101284Provider TypeIndividualFull NameScott, Ann PTitleMs.CredentialPAGenderFemaleSole ProprietorNoEnumeration Date5/17/2006Last Updated5/9/2014Contact InformationPractice LocationPractice Address1155 N Mayfair Rd, Plank Road Clinic, Milwaukee, WI 53226-3421Phone(414) 955-5990Fax(414) 955-6282Mailing LocationMailing Address1155 N Mayfair Rd, Plank Road Clinic, Milwaukee, WI 53226-3421Phone(414) 955-5990Fax(414) 955-6282Provider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense442WisconsinProvider IdentifiersIDDescriptionIssuerID1437101284DescriptionMedicaidIssuerUnlistedWisconsinID004806261FDescriptionOtherIssuerHUMANA