Individual ProviderMichael SorrellNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2475 Broad St, Sumter, SC 29150-1820(803) 778-6555(843) 238-1461PECOS EnrollmentBased on the most recent information from CMS, provider Michael Sorrell 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 12:14 PM.Profile DetailsProvider ID1982118592Provider TypeIndividualFull NameSorrell, MichaelCredentialAPRNGenderMaleSole ProprietorNoEnumeration Date11/20/2017Last Updated11/6/2024Contact InformationPractice LocationPractice Address2475 Broad St, Sumter, SC 29150-1820Phone(803) 778-6555FaxUnlisted FaxMailing LocationMailing AddressPO Box 749306, Atlanta, GA 30374-9306Phone(843) 238-1461Fax(843) 828-0622Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense21389South CarolinaCode363L00000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense21389South CarolinaProvider IdentifiersIDDescriptionIssuerIDNP4980DescriptionMedicaidIssuerUnlistedSouth Carolina