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Teresa C Drelicharz

Counselor

Behavioral Health & Social Service Providers

(402) 330-2024

PECOS Enrollment

This provider is enrolled in PECOS as TERESA DRELICHARZ.

Based on the most recent information from CMS, provider Teresa C Drelicharz is legally eligible to order and refer claims for DME services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 10:51 AM.

Profile Details

Provider ID
1013092790
Provider Type
Individual
Full Name
Drelicharz, Teresa C
Title
Mrs.
Credential
LIMHP

Gender
Female
Sole Proprietor
No
Enumeration Date
10/25/2006
Last Updated
12/16/2011

Contact Information

Practice Location

333 S. 132rd St., Omaha, NE 68154

(402) 330-2024

(402) 697-7019

Mailing Location

333 S. 132rd St., Omaha, NE 68154

(402) 330-2024

(402) 697-7019

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 921 Nebraska
Code 101YM0800X	Description Counselor Behavioral Health & Social Service Providers	License 2009 Nebraska

Provider Identifiers

ID	Description	Issuer
ID 233104	Description Other	Issuer MIDLANDS CHOICE Nebraska

Teresa C Drelicharz

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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