Individual ProviderLevi Michael TobackStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address1 Ohio University Dept Of Psychology, Porter Hall Room 002, Athens, OH 45701-2942(740) 593-0902PECOS EnrollmentBased on the most recent information from CMS, provider Levi Michael Toback 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 10:10 AM.Profile DetailsProvider ID1174086813Provider TypeIndividualFull NameToback, Levi MichaelCredentialMSGenderMaleSole ProprietorNoEnumeration Date4/10/2019Last Updated4/10/2019Contact InformationPractice LocationPractice Address1 Ohio University Dept Of Psychology, Porter Hall Room 002, Athens, OH 45701-2942Phone(740) 593-0902Fax(740) 593-4790Mailing LocationMailing Address1 Ohio University, Department Of Psychology, Porter Hall Room 002, Athens, OH 45701-2942Phone(740) 593-0902Fax(740) 953-4790Provider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer