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Marissa De La Paz Amaya

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

804 E. Woodfield Road, 300, Schaumburg, IL 60173

PECOS Enrollment

This provider is enrolled in PECOS as MARISSA DE LA PAZ.

Based on the most recent information from CMS, provider Marissa De La Paz Amaya is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 10:50 AM.

Profile Details

Provider ID
1710236815
Provider Type
Individual
Full Name
Amaya, Marissa De La Paz
Title
Miss
Credential
APN-CNP

Gender
Female
Sole Proprietor
No
Enumeration Date
9/5/2012
Last Updated
6/12/2024

Contact Information

Practice Location

804 E. Woodfield Road, 300, Schaumburg, IL 60173

(847) 605-9500

(847) 605-8700

Mailing Location

1632 W Central Rd, Arlington Heights, IL 60005-2407

(847) 618-2500

(847) 253-8474

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 209009695 Illinois

Marissa De La Paz Amaya

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Patel, Binaki

Comas, Rebecca

Klima, Izabella

Basaka, Louis

Chevron, Julia

Woundcare Unlimited

Taj, Mehrunnissa

Varghese, Rachel

Gorospe, Dean Michael Villon

Kuncheria, Mini