Individual ProviderKanan PatelPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1944 Corlies Ave., Suite 101, Neptune, NJ 07753(732) 775-8444(813) 464-4715PECOS EnrollmentBased on the most recent information from CMS, provider Kanan Patel 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 6 days ago.Profile DetailsProvider ID1720641921Provider TypeIndividualFull NamePatel, KananCredentialPAGenderFemaleSole ProprietorNoEnumeration Date4/15/2019Last Updated1/24/2022Contact InformationPractice LocationPractice Address1944 Corlies Ave., Suite 101, Neptune, NJ 07753Phone(732) 775-8444Fax(732) 775-8550Mailing LocationMailing Address6314 N Queensway Dr, Temple Terrace, FL 33617-2416Phone(813) 464-4715FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted IssuerCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer