Look up the most recent NPI and PECOS records

Jeremy Gartner

Social Worker

Behavioral Health & Social Service Providers

236 Elmwood Ave, Burlington, VT 05401-4233

PECOS Enrollment

Based on the most recent information from CMS, provider Jeremy Gartner is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 9:43 AM.

Profile Details

Provider ID
1396140901
Provider Type
Individual
Full Name
Gartner, Jeremy
Gender
Male

Sole Proprietor
Yes
Enumeration Date
10/24/2014
Last Updated
2/12/2015

Contact Information

Practice Location

236 Elmwood Ave, Burlington, VT 05401-4233

(802) 343-8824

Unlisted Fax

Mailing Location

236 Elmwood Ave, Burlington, VT 05401-4233

(802) 343-8824

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 089.0105805 Vermont

Jeremy Gartner

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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