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Peggy Sue Mcknight

Social Worker

Behavioral Health & Social Service Providers

4212 Ohio State Route 306, Suite 100, Wiloughby, OH 44094

PECOS Enrollment

This provider is enrolled in PECOS as PEGGY MCKNIGHT.

Based on the most recent information from CMS, provider Peggy Sue Mcknight 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 3 days ago.

Profile Details

Provider ID
1093740706
Provider Type
Individual
Full Name
Mcknight, Peggy Sue
Title
Mrs.
Credential
L.I.S.W.

Gender
Female
Sole Proprietor
No
Enumeration Date
7/11/2006
Last Updated
5/16/2014

Contact Information

Practice Location

4212 Ohio State Route 306, Suite 100, Wiloughby, OH 44094

(216) 831-6611

(216) 456-8128

Mailing Location

25101 Chagrin Boulevard, Suite 100, Beechwood, OH 44122

(216) 831-6611

(216) 456-8128

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License I.0008092-SUPV Ohio
Code 1041C0700X	Description Social Worker Behavioral Health & Social Service Providers	License I8092 Ohio

Peggy Sue Mcknight

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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Cowles, Kimberly