Look up the most recent NPI and PECOS records

Bajeerao Patil

Social Worker

Behavioral Health & Social Service Providers

307 Woodridge Ln, Media, PA 19063-1731

PECOS Enrollment

Based on the most recent information from CMS, provider Bajeerao Patil 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 2 days ago.

Profile Details

Provider ID
1588272512
Provider Type
Individual
Full Name
Patil, Bajeerao
Gender
Male

Sole Proprietor
Yes
Enumeration Date
7/15/2020
Last Updated
7/15/2020

Contact Information

Practice Location

307 Woodridge Ln, Media, PA 19063-1731

(610) 457-7640

Unlisted Fax

Mailing Location

307 Woodridge Ln, Media, PA 19063-1731

(610) 457-7640

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer Pennsylvania

Bajeerao Patil

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Lowman, Laura Straub

Smith, Maryrose W

Schank, Kathleen M.

Lafleur-Vetter, Hazel

Emmanouilides, Sandra Madeleine

Miller, Gary M

Eddy, Melanie Marie

Sanders, Roynell

Jordan, Brian Joseph

Samyan, Christina Marie