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Mary Ann Blotzer

Social Worker

Behavioral Health & Social Service Providers

6325 Executive Blvd, Rockville, MD 20852-3905

PECOS Enrollment

This provider is enrolled in PECOS as MARY BLOTZER.

Based on the most recent information from CMS, provider Mary Ann Blotzer 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 2 days ago.

Profile Details

Provider ID
1114062866
Provider Type
Individual
Full Name
Blotzer, Mary Ann
Title
Ms.
Credential
LCSW C

Gender
Female
Sole Proprietor
Yes
Enumeration Date
2/20/2007
Last Updated
7/16/2023

Contact Information

Practice Location

6325 Executive Blvd, Rockville, MD 20852-3905

(240) 374-3263

Unlisted Fax

Mailing Location

7310 Quantum Leap Ln, Bowie, MD 20720-4301

(240) 374-3263

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 05557 Maryland

Mary Ann Blotzer

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Wall, Chelsea

Garrett, Mark

Denmark, Brooke

Thiel, Mindy

Wolff, Lisa

Wessel, Julia

Taylor, Chris

Kosin, Elizabeth Irene

Vara, Christine

Marks, Deborah Storey