Look up the most recent NPI and PECOS records

Kristine Krisko

Social Worker

Behavioral Health & Social Service Providers

22001 Fairmount Blvd, Shaker Heights, OH 44118-4819

PECOS Enrollment

Based on the most recent information from CMS, provider Kristine Krisko 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
1114220035
Provider Type
Individual
Full Name
Krisko, Kristine
Credential
LISW-S

Gender
Female
Sole Proprietor
Yes
Enumeration Date
12/15/2010
Last Updated
8/9/2011

Contact Information

Practice Location

22001 Fairmount Blvd, Shaker Heights, OH 44118-4819

(216) 320-8610

Unlisted Fax

Mailing Location

22001 Fairmount Blvd, Shaker Heights, OH 44118-4819

(216) 320-8610

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License I.0700054-SUPV Ohio

Kristine Krisko

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Edwards, Artley

Lovdahl, Sophia F

Oliver, Sarah Elizabeth

Singer, Alicia Marie

Witkowski, Margaret

Johnson, Justin Matthew

Struk, Sally L.

Geyer, Loretta

Criss, Elfrida

Mcdonnell, Michael