Individual ProviderLoretta GeyerSocial WorkerBehavioral Health & Social Service ProvidersPractice Address2490 Lee Blvd, #204, Cleveland, OH 44118-1269(216) 321-3611PECOS EnrollmentBased on the most recent information from CMS, provider Loretta Geyer 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 3 days ago.Profile DetailsProvider ID1528095080Provider TypeIndividualFull NameGeyer, LorettaCredentialL.I.S.W.GenderFemaleSole ProprietorNoEnumeration Date6/28/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address2490 Lee Blvd, #204, Cleveland, OH 44118-1269Phone(216) 321-3611Fax(216) 321-0021Mailing LocationMailing Address23531 Farringdon Ave, Euclid, OH 44123-1538Phone(216) 321-3611Fax(216) 321-0021Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseI-0008569Ohio