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Evelyn J Busnengo

Counselor

Behavioral Health & Social Service Providers

PECOS Enrollment

This provider is enrolled in PECOS as EVELYN BUSNENGO.

Based on the most recent information from CMS, provider Evelyn J Busnengo is legally eligible to order and refer claims for Part B and DME services only.

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

CMS last updated its PECOS records yesterday at 12:04 PM.

Profile Details

Provider ID
1548342439
Provider Type
Individual
Full Name
Busnengo, Evelyn J
Credential
LICSW

Gender
Female
Sole Proprietor
No
Enumeration Date
10/19/2006
Last Updated
7/8/2007

Contact Information

Practice Location

215 Sandwich Rd, Wareham, MA 02571-1637

(508) 295-3600

Unlisted Fax

Mailing Location

215 Sandwich Rd, Wareham, MA 02571-1637

(508) 295-3600

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 110781 Massachusetts

Evelyn J Busnengo

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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