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Beth A Sipple

Social Worker

Behavioral Health & Social Service Providers

36525 Chardon Rd, Willoughby, OH 44094-8306

PECOS Enrollment

This provider is enrolled in PECOS as BETH SIPPLE.

Based on the most recent information from CMS, provider Beth A Sipple 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
1144418823
Provider Type
Individual
Full Name
Sipple, Beth A
Credential
LISW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
10/9/2007
Last Updated
10/9/2007

Contact Information

Practice Location

36525 Chardon Rd, Willoughby, OH 44094-8306

(440) 946-8905

Unlisted Fax

Mailing Location

36525 Chardon Rd, Willoughby, OH 44094-8306

(440) 946-8905

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer Ohio

Beth A Sipple

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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