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Deborah Odette Bishop

Social Worker

Behavioral Health & Social Service Providers

4055 Spencer St Ste 118, Las Vegas, NV 89119-5250

PECOS Enrollment

This provider is enrolled in PECOS as DEBORAH BISHOP.

Based on the most recent information from CMS, provider Deborah Odette Bishop 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 4 days ago.

Profile Details

Provider ID
1124788435
Provider Type
Individual
Full Name
Bishop, Deborah Odette
Credential
MSW

Gender
Female
Sole Proprietor
No
Enumeration Date
12/28/2021
Last Updated
1/12/2022

Contact Information

Practice Location

4055 Spencer St Ste 118, Las Vegas, NV 89119-5250

(702) 799-9710

Unlisted Fax

Mailing Location

3450 N Hualapai Way Unit 2095, Las Vegas, NV 89129-8086

(702) 767-8933

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License IC-1889 Nevada

Deborah Odette Bishop

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

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Description

License

Code

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