Individual ProviderDeborah BukovecSocial WorkerBehavioral Health & Social Service ProvidersPractice Address500 Sandy Bank Rd, Media, PA 19063-1398(610) 565-1405(215) 983-5307PECOS EnrollmentBased on the most recent information from CMS, provider Deborah Bukovec 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 ID1548962582Provider TypeIndividualFull NameBukovec, DeborahCredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date3/21/2023Last Updated3/21/2023Contact InformationPractice LocationPractice Address500 Sandy Bank Rd, Media, PA 19063-1398Phone(610) 565-1405FaxUnlisted FaxMailing LocationMailing Address425 Westridge Dr, Phoenixville, PA 19460-3381Phone(215) 983-5307FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseCW013013Pennsylvania