Look up the most recent NPI and PECOS records

Dominique Hamilton

Social Worker

Behavioral Health & Social Service Providers

22511 Telegraph Rd, Southfield, MI 48033-4115

PECOS Enrollment

Based on the most recent information from CMS, provider Dominique Hamilton 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 yesterday at 11:21 AM.

Profile Details

Provider ID
1649647611
Provider Type
Individual
Full Name
Hamilton, Dominique
Gender
Female

Sole Proprietor
Yes
Enumeration Date
8/26/2015
Last Updated
5/6/2024

Contact Information

Practice Location

22511 Telegraph Rd, Southfield, MI 48033-4115

(313) 701-7157

Unlisted Fax

Mailing Location

1938 Burdette St Ste 107, Ferndale, MI 48220-1982

(313) 314-3309

(248) 461-1209

Provider Taxonomies

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

Dominique Hamilton

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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