Individual ProviderKurtis RodineNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address319 N. Main St., Sumter, SC 29150-2664(803) 774-4500PECOS EnrollmentBased on the most recent information from CMS, provider Kurtis Rodine 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 12:14 PM.Profile DetailsProvider ID1679037410Provider TypeIndividualFull NameRodine, KurtisCredentialNPGenderMaleSole ProprietorYesEnumeration Date1/25/2019Last Updated4/10/2019Contact InformationPractice LocationPractice Address319 N. Main St., Sumter, SC 29150-2664Phone(803) 774-4500Fax(803) 305-1466Mailing LocationMailing Address319 N. Main St., Sumter, SC 29150-2664Phone(803) 774-4500Fax(803) 305-1466Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense22561South Carolina