Individual ProviderShengnan ZhengInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address200 E Chestnut St Bldg Suite303, Louisville, KY 40202-1831(502) 629-5552(502) 559-9411PECOS EnrollmentBased on the most recent information from CMS, provider Shengnan Zheng 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 3 days ago.Profile DetailsProvider ID1598292062Provider TypeIndividualFull NameZheng, ShengnanCredentialMDGenderFemaleSole ProprietorNoEnumeration Date5/16/2017Last Updated1/3/2024Contact InformationPractice LocationPractice Address200 E Chestnut St Bldg Suite303, Louisville, KY 40202-1831Phone(502) 629-5552FaxUnlisted FaxMailing LocationMailing AddressPO Box 776351, Chicago, IL 60677-6351Phone(502) 559-9411Fax(502) 272-5339Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense55139KentuckyCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseMT212824PennsylvaniaProvider IdentifiersIDDescriptionIssuerID7100871880DescriptionMedicaidIssuerUnlistedKentucky