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Deanne Darlene Locker

Student in an Organized Health Care Education/Training Program

Student, Health Care

30 E. Apple St., 6th Floor Magnolia, Dayton, OH 45409

(937) 208-2004 (337) 718-1589

PECOS Enrollment

This provider is enrolled in PECOS as DEANNE LOCKER.

Based on the most recent information from CMS, provider Deanne Darlene Locker is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 1:10 PM.

Profile Details

Provider ID
1235826520
Provider Type
Individual
Full Name
Locker, Deanne Darlene
Title
Dr.
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
4/18/2023
Last Updated
4/18/2023

Contact Information

Practice Location

30 E. Apple St., 6th Floor Magnolia, Dayton, OH 45409

(937) 208-2004

Unlisted Fax

Mailing Location

4276 Bristol Dr, Beavercreek, OH 45440-3383

(337) 718-1589

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Deanne Darlene Locker

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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