Look up the most recent NPI and PECOS records

Marcy Bristol

Social Worker

Behavioral Health & Social Service Providers

7439 Middlebelt Rd Ste 3, West Bloomfield, MI 48322-4183

PECOS Enrollment

Based on the most recent information from CMS, provider Marcy Bristol 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 yesterday at 11:21 AM.

Profile Details

Provider ID
1407515497
Provider Type
Individual
Full Name
Bristol, Marcy
Gender
Female

Sole Proprietor
No
Enumeration Date
12/17/2021
Last Updated
12/17/2021

Contact Information

Practice Location

7439 Middlebelt Rd Ste 3, West Bloomfield, MI 48322-4183

(617) 213-6841

Unlisted Fax

Mailing Location

1000 Jefferson St Ste 2c, Lynchburg, VA 24504-1724

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 104100000X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 6801015907 Michigan

Marcy Bristol

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Kaster-Hostos, Deborah

Gayer, Susan

Munson, Bronte

Shah, Charu B

Schwartz, Naomi

Mitchell, Marla

Feldman, Pamela Gail

Tucker, Deborah Naomi

Golden, Andrea

Selik, Skylar Lee