Individual ProviderKatie DreyPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice AddressEmile @ 42nd St, Omaha, NE 68198-1045(402) 559-8953PECOS EnrollmentBased on the most recent information from CMS, provider Katie Drey 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 2 days ago.Profile DetailsProvider ID1811489883Provider TypeIndividualFull NameDrey, KatieTitleMrs.CredentialPA-CGenderFemaleSole ProprietorNoEnumeration Date6/5/2018Last Updated8/24/2021Contact InformationPractice LocationPractice AddressEmile @ 42nd St, Omaha, NE 68198-1045Phone(402) 559-8953FaxUnlisted FaxMailing LocationMailing Address988102 Nebraska Medical Ctr, Omaha, NE 68198-8102PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense2393NebraskaCode363AM0700XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense092249Iowa