Individual ProviderJessica LandramSocial WorkerBehavioral Health & Social Service ProvidersPractice Address2110 E Flamingo Rd Ste D, Las Vegas, NV 89119-5190(702) 272-0987PECOS EnrollmentBased on the most recent information from CMS, provider Jessica Landram is legally eligible to order and refer claims for DME services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1265992044Provider TypeIndividualFull NameLandram, JessicaCredentialCSW-IGenderFemaleSole ProprietorYesEnumeration Date3/20/2019Last Updated3/20/2019Contact InformationPractice LocationPractice Address2110 E Flamingo Rd Ste D, Las Vegas, NV 89119-5190Phone(702) 272-0987Fax(702) 823-1196Mailing LocationMailing Address6575 W Tropicana Ave Apt 2097, Las Vegas, NV 89103-4745PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseIC-1303Nevada