Individual ProviderShawn BlagdenCounselorBehavioral Health & Social Service ProvidersPractice Address1 Twins Beach Ln, Wareham, MA 02571(508) 742-5194PECOS EnrollmentBased on the most recent information from CMS, provider Shawn Blagden 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 yesterday at 12:04 PM.Profile DetailsProvider ID1063949832Provider TypeIndividualFull NameBlagden, ShawnGenderFemaleSole ProprietorYesEnumeration Date5/11/2017Last Updated5/11/2017Contact InformationPractice LocationPractice Address1 Twins Beach Ln, Wareham, MA 02571Phone(508) 742-5194FaxUnlisted FaxMailing LocationMailing Address1 Twins Beach Ln, Wareham, MA 02571PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer