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Mary Kathleen Cox

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

215 W Hampton Ave, Sumter, SC 29150-4911

PECOS Enrollment

This provider is enrolled in PECOS as MARY COX.

Based on the most recent information from CMS, provider Mary Kathleen Cox 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 12:14 PM.

Profile Details

Provider ID
1871973339
Provider Type
Individual
Full Name
Cox, Mary Kathleen
Title
Mrs.
Credential
FNP-C

Gender
Female
Sole Proprietor
Yes
Enumeration Date
5/31/2015
Last Updated
1/28/2020

Contact Information

Practice Location

215 W Hampton Ave, Sumter, SC 29150-4911

(803) 773-5227

(803) 418-0202

Mailing Location

325 Broad St, Ste 100, Sumter, SC 29150-4167

(803) 773-5227

(803) 418-0202

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 19491 South Carolina

Mary Kathleen Cox

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

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Code

Description

License

Code

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