Individual ProviderEric CarpenterCounselorBehavioral Health & Social Service ProvidersPractice Address10845 Harney St, Omaha, NE 68154-2639(402) 916-9421(402) 953-9042PECOS EnrollmentBased on the most recent information from CMS, provider Eric Carpenter is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:51 AM.Profile DetailsProvider ID1386408482Provider TypeIndividualFull NameCarpenter, EricGenderMaleSole ProprietorYesEnumeration Date2/8/2024Last Updated2/8/2024Contact InformationPractice LocationPractice Address10845 Harney St, Omaha, NE 68154-2639Phone(402) 916-9421FaxUnlisted FaxMailing LocationMailing Address10208 Rosewater Pkwy, Bennington, NE 68007-8099Phone(402) 953-9042FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense13781Nebraska