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Haley Rose Primuth

Student in an Organized Health Care Education/Training Program

Student, Health Care

PECOS Enrollment

This provider is enrolled in PECOS as HALEY PRIMUTH.

Based on the most recent information from CMS, provider Haley Rose Primuth 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 12:57 PM.

Profile Details

Provider ID
1275279895
Provider Type
Individual
Full Name
Primuth, Haley Rose
Gender
Female

Sole Proprietor
Yes
Enumeration Date
5/6/2022
Last Updated
6/25/2024

Contact Information

Practice Location

945 N 12th St, Milwaukee, WI 53233-1305

(414) 219-5725

(414) 219-5611

Mailing Location

945 N 12th St, Milwaukee, WI 53233-1305

Unlisted Phone

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

Haley Rose Primuth

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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