Individual ProviderKevin BleisteinSocial WorkerBehavioral Health & Social Service ProvidersPractice Address3109 Mayfield Rd Ste 204, Cleveland Heights, OH 44118-1726(216) 245-7470(570) 428-2785PECOS EnrollmentBased on the most recent information from CMS, provider Kevin Bleistein 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 3 days ago.Profile DetailsProvider ID1275078438Provider TypeIndividualFull NameBleistein, KevinCredentialLISWGenderMaleSole ProprietorYesEnumeration Date12/27/2016Last Updated7/14/2021Contact InformationPractice LocationPractice Address3109 Mayfield Rd Ste 204, Cleveland Heights, OH 44118-1726Phone(216) 245-7470FaxUnlisted FaxMailing LocationMailing Address3343 Bradford Rd, Cleveland Heights, OH 44118-4229Phone(570) 428-2785FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseI.1600333-SUPVOhio