Individual ProviderBarbara BeutlerLicensed Practical NurseNursing Service ProvidersPractice Address40 W 4th St Apt 34, Patchogue, NY 11772-2139(631) 294-3936PECOS EnrollmentBased on the most recent information from CMS, provider Barbara Beutler does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1629345178Provider TypeIndividualFull NameBeutler, BarbaraCredentialLPNGenderFemaleSole ProprietorYesEnumeration Date11/29/2011Last Updated11/29/2011Contact InformationPractice LocationPractice Address40 W 4th St Apt 34, Patchogue, NY 11772-2139Phone(631) 294-3936FaxUnlisted FaxMailing LocationMailing Address40 W 4th St Apt 34, Patchogue, NY 11772-2139Phone(631) 294-3936FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense245600New York