Individual ProviderLiese PesslNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address214 E Mendenhall St, Gallatin Community Clinic, Bozeman, MT 59715-3638(406) 525-1360(406) 222-1111PECOS EnrollmentBased on the most recent information from CMS, provider Liese Pessl is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1447347281Provider TypeIndividualFull NamePessl, LieseCredentialNPFGenderFemaleSole ProprietorNoEnumeration Date10/5/2006Last Updated1/31/2012Contact InformationPractice LocationPractice Address214 E Mendenhall St, Gallatin Community Clinic, Bozeman, MT 59715-3638Phone(406) 525-1360Fax(406) 823-6305Mailing LocationMailing Address126 S Main St, Community Health Partners, Livingston, MT 59047-2624Phone(406) 222-1111Fax(406) 823-6305Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseRN22756MontanaProvider IdentifiersIDDescriptionIssuerID307502DescriptionMedicaidIssuerUnlistedMontana