Individual ProviderNeha BarakamFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address415 Broad St, Suite 410, Kingsport, TN 37660(423) 239-9737PECOS EnrollmentBased on the most recent information from CMS, provider Neha Barakam 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 yesterday at 4:18 PM.Profile DetailsProvider ID1942430111Provider TypeIndividualFull NameBarakam, NehaCredentialM.DGenderFemaleSole ProprietorNoEnumeration Date7/21/2009Last Updated11/12/2020Contact InformationPractice LocationPractice Address415 Broad St, Suite 410, Kingsport, TN 37660Phone(423) 239-9737FaxUnlisted FaxMailing LocationMailing Address415 Broad St, Suite 410, Kingsport, TN 37660Phone(423) 239-9737FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseMD50520TennesseeCode207Q00000XDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense0101252158Virginia