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Waldo Antonio Mery

Counselor

Behavioral Health & Social Service Providers

1212 N California St, Stockton, CA 95202-1552

PECOS Enrollment

This provider is enrolled in PECOS as WALDO MERY.

Based on the most recent information from CMS, provider Waldo Antonio Mery is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
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 12:57 PM.

Profile Details

Provider ID
1053849398
Provider Type
Individual
Full Name
Mery, Waldo Antonio
Title
Mr.

Gender
Male
Sole Proprietor
No
Enumeration Date
5/31/2017
Last Updated
7/21/2022

Contact Information

Practice Location

1212 N California St, Stockton, CA 95202-1552

(209) 468-8786

Unlisted Fax

Mailing Location

1212 N California St, Stockton, CA 95202-1552

(209) 468-8786

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer

Waldo Antonio Mery

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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