Individual ProviderSeth Marc PranskyOtolaryngologyAllopathic & Osteopathic PhysiciansPractice Address3030 Childrens Way, Suite 402, San Diego, CA 92123-4232(858) 309-7701(858) 309-6303PECOS EnrollmentThis provider is enrolled in PECOS as SETH PRANSKY.Based on the most recent information from CMS, provider Seth Marc Pransky is legally eligible to order and refer claims for DME and PMD services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1669543427Provider TypeIndividualFull NamePransky, Seth MarcCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date11/13/2006Last Updated10/10/2011Contact InformationPractice LocationPractice Address3030 Childrens Way, Suite 402, San Diego, CA 92123-4232Phone(858) 309-7701FaxUnlisted FaxMailing LocationMailing Address3860 Calle Fortunada, Suite 210, San Diego, CA 92123-4800Phone(858) 309-6303Fax(858) 309-6301Provider TaxonomiesCodeDescriptionLicenseCode207YP0228XPrimaryDescriptionOtolaryngologyAllopathic & Osteopathic PhysiciansLicenseG54722CaliforniaCode207Y00000XDescriptionOtolaryngologyAllopathic & Osteopathic PhysiciansLicenseG54722CaliforniaProvider IdentifiersIDDescriptionIssuerID00G547220DescriptionMedicaidIssuerUnlistedCalifornia