MEDICARE: MISSION ACCESS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1306475330
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MISSION ACCESS, LLC

Provider Business Mailing Address
First Line	:	215 MUSHROOM BLVD BLDG 18
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14623-3256
Country	:	US
Telephone Number	:	585-259-6656
Fax Number	:

Provider Business Practice Location Address
First Line	:	215 MUSHROOM BLVD BLDG 18
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14623-3256
Country	:	US
Telephone Number	:	585-259-6656
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PARTNER
Name	:	JONATHAN WALTERS
Credential	:
Telephone Number	:	585-259-6656

Provider Enumeration Date	:	04/02/2020
Last Update Date	:	04/02/2020

Similar Medicare Providers

1790126431 — MISSION HEALTH CONCEPTS, INC
Practice Location Address:

215 MUSHROOM BLVD BLDG 18
ROCHESTER, NY
14623-3256

Practice Phone: 585-427-0380
Practice Fax: 585-427-2604

1053122887 — ELECTROCHEMICAL OXYGEN CONCEPTS INC.
Practice Location Address:

215 MUSHROOM BLVD STE 1802
ROCHESTER, NY
14623-3256

Practice Phone: 800-825-2979
Practice Fax: 210-561-9067

1003913369 — THE GABLES, INC.
Practice Location Address:

604 5TH ST SW
ROCHESTER, MN
55902-3256

Practice Phone: 507-282-2500
Practice Fax: 507-282-6036

1164793212 — MARLENE YVETTE MITCHELL LPN
Practice Location Address:

74 ELK ST
ROCHESTER, NY
14615-3256

Practice Phone: 585-355-4038
Practice Fax:

1407484983 — THE GABLES LLC
Practice Location Address:

604 5TH ST SW
ROCHESTER, MN
55902-3256

Practice Phone: 507-225-0820
Practice Fax:

1407467640 — MICHELLE BOHMERT MA LADC LPCC
Practice Location Address:

604 5TH ST SW
ROCHESTER, MN
55902-3256

Practice Phone: 651-796-3556
Practice Fax:

Directions to “MISSION ACCESS, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.