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Cameron W Hogg

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

2150 Pennsylvania Ave NW, Suite 5-411, Washington, DC 20037-3201

PECOS Enrollment

This provider is enrolled in PECOS as CAMERON HOGG.

Based on the most recent information from CMS, provider Cameron W Hogg is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 4:18 PM.

Profile Details

Provider ID
1508891383
Provider Type
Individual
Full Name
Hogg, Cameron W
Credential
FNP

Gender
Female
Sole Proprietor
No
Enumeration Date
7/11/2006
Last Updated
10/2/2012

Contact Information

Practice Location

2150 Pennsylvania Ave NW, Suite 5-411, Washington, DC 20037-3201

(202) 741-2222

Unlisted Fax

Mailing Location

2150 Pennsylvania Ave NW, Suite 5-411, Washington, DC 20037-3201

(202) 741-2222

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License RN1025202 District of Columbia

Provider Identifiers

ID	Description	Issuer
ID NP0917	Description Medicaid	Issuer Unlisted South Carolina

Cameron W Hogg

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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Trinidad, Rona Antonette