Individual ProviderBethany M MisemerBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address1650 Bragaw St, Anchorage, AK 99508-3435(907) 433-7361(907) 258-7575PECOS EnrollmentBased on the most recent information from CMS, provider Bethany M Misemer does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1114571841Provider TypeIndividualFull NameMisemer, Bethany MCredentialBAGenderFemaleSole ProprietorNoEnumeration Date7/31/2019Last Updated7/31/2019Contact InformationPractice LocationPractice Address1650 Bragaw St, Anchorage, AK 99508-3435Phone(907) 433-7361FaxUnlisted FaxMailing LocationMailing Address1650 Bragaw St, Anchorage, AK 99508-3435Phone(907) 258-7575FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer