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Carly Rae Gruss

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

Sc House Calls Inc, 111 Doctors Circle, Columbia, SC 29203

PECOS Enrollment

This provider is enrolled in PECOS as CARLY GRUSS.

Based on the most recent information from CMS, provider Carly Rae Gruss 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 3 days ago.

Profile Details

Provider ID
1811608607
Provider Type
Individual
Full Name
Gruss, Carly Rae
Title
Ms.
Credential
APRN

Gender
Female
Sole Proprietor
No
Enumeration Date
12/12/2022
Last Updated
6/19/2023

Contact Information

Practice Location

Sc House Calls Inc, 111 Doctors Circle, Columbia, SC 29203

(800) 491-0909

Unlisted Fax

Mailing Location

Sc House Calls Inc, 111 Doctors Circle, Columbia, SC 29203

(800) 491-0909

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 26857 South Carolina

Carly Rae Gruss

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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