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Nicholas Reid Deslauriers

Hospitalist

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as NICHOLAS DESLAURIERS.

Based on the most recent information from CMS, provider Nicholas Reid Deslauriers 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 today at 9:59 AM.

Profile Details

Provider ID
1942839600
Provider Type
Individual
Full Name
Deslauriers, Nicholas Reid
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
4/5/2020
Last Updated
9/27/2023

Contact Information

Practice Location

325 9th Ave, Seattle, WA 98104-2420

(206) 520-5000

Unlisted Fax

Mailing Location

PO Box 50095, Seattle, WA 98145-5095

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208M00000X Primary	Description Hospitalist Allopathic & Osteopathic Physicians	License MD61319231 Washington
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License MD61319231 Washington

Nicholas Reid Deslauriers

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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