Individual ProviderDeidre BrunelleCounselorBehavioral Health & Social Service ProvidersPractice Address98 Lower Westfield Rd., Holyoke, MA 01040(413) 584-6855(413) 736-3668PECOS EnrollmentBased on the most recent information from CMS, provider Deidre Brunelle 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 12:57 PM.Profile DetailsProvider ID1437542271Provider TypeIndividualFull NameBrunelle, DeidreGenderFemaleSole ProprietorNoEnumeration Date3/17/2015Last Updated11/13/2019Contact InformationPractice LocationPractice Address98 Lower Westfield Rd., Holyoke, MA 01040Phone(413) 584-6855Fax(413) 532-1846Mailing LocationMailing Address417 Liberty St, Springfield, MA 01104-3736Phone(413) 736-3668Fax(413) 731-8651Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense10726Massachusetts