Look up the most recent NPI and PECOS records

Donald Rahelich

Social Worker

Behavioral Health & Social Service Providers

111 Colchester Ave, Burlington, VT 05401-1473

PECOS Enrollment

Based on the most recent information from CMS, provider Donald Rahelich is legally eligible to order and refer claims for DME services only.

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

CMS last updated its PECOS records today at 9:43 AM.

Profile Details

Provider ID
1558382788
Provider Type
Individual
Full Name
Rahelich, Donald
Title
Mr.
Credential
MSW, LICSW

Gender
Male
Sole Proprietor
No
Enumeration Date
7/22/2006
Last Updated
7/8/2007

Contact Information

Practice Location

111 Colchester Ave, Burlington, VT 05401-1473

(802) 482-3358

Unlisted Fax

Mailing Location

305 Ledgewood Ln, Hinesburg, VT 05461-9546

(802) 482-3358

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 0890000087 Vermont

Provider Identifiers

ID	Description	Issuer
ID 1008667	Description Medicaid	Issuer Unlisted Vermont

Donald Rahelich

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Karge, Kristine Mary

Kanard, Mary Elizabeth

Lax, Lisa K

Fontaine, Sienna

Horner, Jessica

D'Agostino, Megan

Walling, Allison

Johnson, Leighton F

Kitsos, Margaret Elizabeth

Sullivan, Jeanne