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Riannon Lynn Simmerman

Counselor

Behavioral Health & Social Service Providers

11920 Burt Street, Suite 190, Omaha, NE 68154

PECOS Enrollment

This provider is enrolled in PECOS as RIANNON SIMMERMAN.

Based on the most recent information from CMS, provider Riannon Lynn Simmerman 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 10:51 AM.

Profile Details

Provider ID
1063897809
Provider Type
Individual
Full Name
Simmerman, Riannon Lynn
Title
Mrs.
Credential
LIMHP, PLADC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
7/22/2015
Last Updated
12/3/2018

Contact Information

Practice Location

11920 Burt Street, Suite 190, Omaha, NE 68154

(402) 965-4004

(402) 965-4232

Mailing Location

11920 Burt Street, Suite 190, Omaha, NE 68154

(402) 965-4004

(402) 965-4232

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 2049 Nebraska
Code 101YA0400X	Description Counselor Behavioral Health & Social Service Providers	License P-1334 Nebraska

Riannon Lynn Simmerman

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

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