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Cindy Stafford

Counselor

Behavioral Health & Social Service Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Cindy Stafford 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
1639624703
Provider Type
Individual
Full Name
Stafford, Cindy
Gender
Female

Sole Proprietor
No
Enumeration Date
8/18/2016
Last Updated
8/18/2016

Contact Information

Practice Location

55 Dimock St, Roxbury, MA 02119-1029

(617) 442-8800

Unlisted Fax

Mailing Location

55 Dimock St, Roxbury, MA 02119-1029

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 9752 Massachusetts

Cindy Stafford

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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