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Lisa Marilyn Duniec-Vergakis

Social Worker

Behavioral Health & Social Service Providers

PECOS Enrollment

This provider is enrolled in PECOS as LISA DUNIEC-VERGAKIS.

Based on the most recent information from CMS, provider Lisa Marilyn Duniec-Vergakis 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 today at 12:07 PM.

Profile Details

Provider ID
1093891087
Provider Type
Individual
Full Name
Duniec-Vergakis, Lisa Marilyn
Title
Ms.
Credential
LICSW

Gender
Female
Sole Proprietor
No
Enumeration Date
10/31/2006
Last Updated
7/8/2007

Contact Information

Practice Location

56 Dimock St., Roxbury, MA 02119

(617) 442-8800

Unlisted Fax

Mailing Location

11 Lake St, Braintree, MA 02184-6807

(781) 849-7178

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 1023309 Massachusetts

Lisa Marilyn Duniec-Vergakis

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

James, Rochelle

Haith, India

Higginbottom, Larry

Randolph, Shannon Alyse

Terrass-Shah, Sitar

Gregory, Shameka

Chandler, Danielle Adrienne

Dixon, Christine E

Pina-Centeio, Heather M

Narang, Monica Sudarshan