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Huston Lewis Hastie

Student in an Organized Health Care Education/Training Program

Student, Health Care

One Wyoming St, Dept Of Medical Education, Dayton, OH 45409

PECOS Enrollment

This provider is enrolled in PECOS as HUSTON HASTIE.

Based on the most recent information from CMS, provider Huston Lewis Hastie is legally eligible to order and refer claims for Part B, HHA and DME services only.

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

CMS last updated its PECOS records 8 days ago.

Profile Details

Provider ID
1023570322
Provider Type
Individual
Full Name
Hastie, Huston Lewis
Gender
Male

Sole Proprietor
No
Enumeration Date
4/4/2019
Last Updated
4/4/2019

Contact Information

Practice Location

One Wyoming St, Dept Of Medical Education, Dayton, OH 45409

(937) 208-2205

Unlisted Fax

Mailing Location

One Wyoming St, Dept Of Medical Education, Dayton, OH 45409

(937) 208-2205

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Huston Lewis Hastie

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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