Individual ProviderPatricia Ghassemi BakhtiariNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address5851 Sunset Dr Ste D, South Miami, FL 33143-5271(786) 578-5303PECOS EnrollmentBased on the most recent information from CMS, provider Patricia Ghassemi Bakhtiari 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 4 days ago.Profile DetailsProvider ID1588372601Provider TypeIndividualFull NameGhassemi Bakhtiari, PatriciaCredentialAPRNGenderFemaleSole ProprietorYesEnumeration Date11/8/2022Last Updated5/15/2023Contact InformationPractice LocationPractice Address5851 Sunset Dr Ste D, South Miami, FL 33143-5271Phone(786) 578-5303FaxUnlisted FaxMailing LocationMailing Address5851 Sunset Dr Ste D, South Miami, FL 33143-5271Phone(786) 578-5303FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAPRN11023282Florida