Look up the most recent NPI and PECOS records

Dustin Alan Palmer

Social Worker

Behavioral Health & Social Service Providers

PECOS Enrollment

This provider is enrolled in PECOS as DUSTIN PALMER.

Based on the most recent information from CMS, provider Dustin Alan Palmer 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 today at 11:47 AM.

Profile Details

Provider ID
1669719324
Provider Type
Individual
Full Name
Palmer, Dustin Alan
Title
Mr.
Credential
MSW

Gender
Male
Sole Proprietor
Yes
Enumeration Date
1/14/2013
Last Updated
1/14/2013

Contact Information

Practice Location

7125 S Braden Ave, Tulsa, OK 74136-6302

(918) 481-8100

Unlisted Fax

Mailing Location

3501 S 1st St, Broken Arrow, OK 74012-7916

(918) 946-6233

Unlisted Fax

Provider Taxonomies

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

Dustin Alan Palmer

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Sellers, Jennifer Cremin

Kimbrough, Ebony

Hoogewind, Carrie Frances

Pyle, Kathryn Lee

Dunbar, Julia

Goloby, Cort S

Novelo, Leila M

Burnshire, Julie Marie

Hurst, Ann R

Carrie F Short