Individual ProviderDavid PiattEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address269 S Candy Ln, Cottonwood, AZ 86326-4158(928) 639-6172(440) 396-0637PECOS EnrollmentBased on the most recent information from CMS, provider David Piatt 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 yesterday at 11:47 AM.Profile DetailsProvider ID1598736761Provider TypeIndividualFull NamePiatt, DavidCredentialDOGenderMaleSole ProprietorYesEnumeration Date1/27/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address269 S Candy Ln, Cottonwood, AZ 86326-4158Phone(928) 639-6172FaxUnlisted FaxMailing LocationMailing AddressPO Box 301, Brocton, IL 61917-0301Phone(440) 396-0637FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicense34-008466OhioProvider IdentifiersIDDescriptionIssuerIDPENDINGDescriptionMedicaidIssuerUnlistedOhio