Individual ProviderWilliam ChenPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address150 55th St, Brooklyn, NY 11220-2508(718) 630-7000(718) 439-6163PECOS EnrollmentBased on the most recent information from CMS, provider William Chen 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 today at 9:43 AM.Profile DetailsProvider ID1952874059Provider TypeIndividualFull NameChen, WilliamCredentialPA-CGenderMaleSole ProprietorNoEnumeration Date1/10/2019Last Updated5/25/2023Contact InformationPractice LocationPractice Address150 55th St, Brooklyn, NY 11220-2508Phone(718) 630-7000FaxUnlisted FaxMailing LocationMailing Address775 57th St, Brooklyn, NY 11220-3505Phone(718) 439-6163Fax(718) 439-6815Provider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense023148New YorkProvider IdentifiersIDDescriptionIssuerID05814806DescriptionMedicaidIssuerUnlistedNew York