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Trudy Tamara Pearson

Social Worker

Behavioral Health & Social Service Providers

360 Bloomfield Ave, Windsor, CT 06095-2700

PECOS Enrollment

This provider is enrolled in PECOS as TRUDY PEARSON.

Based on the most recent information from CMS, provider Trudy Tamara Pearson 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 2 days ago.

Profile Details

Provider ID
1235621236
Provider Type
Individual
Full Name
Pearson, Trudy Tamara
Gender
Female

Sole Proprietor
Yes
Enumeration Date
6/5/2018
Last Updated
6/5/2018

Contact Information

Practice Location

360 Bloomfield Ave, Windsor, CT 06095-2700

(860) 539-5995

Unlisted Fax

Mailing Location

114 Indian Hill Rd, Windsor, CT 06095-1453

(860) 539-5995

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 009351 Connecticut

Trudy Tamara Pearson

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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