Individual ProviderLeemore FedermanSocial WorkerBehavioral Health & Social Service ProvidersPractice Address777 Davis St, San Leandro, CA 94577-6923(415) 578-0791PECOS EnrollmentBased on the most recent information from CMS, provider Leemore Federman is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1033750450Provider TypeIndividualFull NameFederman, LeemoreGenderFemaleSole ProprietorNoEnumeration Date10/7/2019Last Updated1/3/2022Contact InformationPractice LocationPractice Address777 Davis St, San Leandro, CA 94577-6923Phone(415) 578-0791FaxUnlisted FaxMailing LocationMailing Address777 Davis St, San Leandro, CA 94577-6923PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense90821California