Individual ProviderRoxanne RaeSocial WorkerBehavioral Health & Social Service ProvidersPractice Address63 Gresham St, Ashland, OR 97520-2886(541) 292-9277PECOS EnrollmentBased on the most recent information from CMS, provider Roxanne Rae 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 2 days ago.Profile DetailsProvider ID1447475678Provider TypeIndividualFull NameRae, RoxanneCredentialLCSW, BCDGenderFemaleSole ProprietorYesEnumeration Date4/14/2007Last Updated10/24/2014Contact InformationPractice LocationPractice Address63 Gresham St, Ashland, OR 97520-2886Phone(541) 292-9277FaxUnlisted FaxMailing LocationMailing AddressPO Box 1150, Ashland, OR 97520-0053Phone(541) 292-9277FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseL3807OregonCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseLCS7194California