Individual ProviderSara BursacSocial WorkerBehavioral Health & Social Service ProvidersPractice Address515 S 12th St, Laramie, WY 82070-4021(573) 673-0062PECOS EnrollmentBased on the most recent information from CMS, provider Sara Bursac is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:54 AM.Profile DetailsProvider ID1215682968Provider TypeIndividualFull NameBursac, SaraCredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date2/21/2022Last Updated2/21/2022Contact InformationPractice LocationPractice Address515 S 12th St, Laramie, WY 82070-4021Phone(573) 673-0062FaxUnlisted FaxMailing LocationMailing Address515 S 12th St, Laramie, WY 82070-4021Phone(573) 673-0062FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense1360Wyoming