Gregory Paul Geddes | Anchorage, AK • PECOS Search

Gregory Paul Geddes

Behavior Technician

Behavioral Health & Social Service Providers

4000 San Ernesto Ave, Anchorage, AK 99508-2874

(907) 729-5020 (907) 351-8799

PECOS Enrollment

Based on the most recent information from CMS, provider Gregory Paul Geddes does not have current enrollment records in PECOS.

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

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1467017376
Provider Type
Individual
Full Name
Geddes, Gregory Paul
Title
Mr.

Gender
Male
Sole Proprietor
No
Enumeration Date
5/6/2019
Last Updated
5/6/2019

Contact Information

Practice Location

4000 San Ernesto Ave, Anchorage, AK 99508-2874

Unlisted Fax

Mailing Location

18910 War Admiral Rd, Eagle River, AK 99577-8288

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106S00000X Primary	Description Behavior Technician Behavioral Health & Social Service Providers	License Unlisted Issuer