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Ellen M Kirschner

Social Worker

Behavioral Health & Social Service Providers

PECOS Enrollment

This provider is enrolled in PECOS as ELLEN KIRSCHNER.

Based on the most recent information from CMS, provider Ellen M Kirschner 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 9:43 AM.

Profile Details

Provider ID
1679602874
Provider Type
Individual
Full Name
Kirschner, Ellen M
Title
Ms.
Credential
MSW LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
3/5/2007
Last Updated
7/8/2007

Contact Information

Practice Location

2 Church St, Burlington, VT 05401

(802) 860-7454

Unlisted Fax

Mailing Location

2 Church St, Burlington, VT 05401

(802) 860-7454

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 0890000007 Vermont

Provider Identifiers

ID	Description	Issuer
ID 1007884	Description Medicaid	Issuer Unlisted Vermont

Ellen M Kirschner

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Dumeer, Alissa M.

Fowler, Betsy A

Corbally, Charles Joseph

Desrault, Nancy J

O'Rear, Tamara

Anderson, Lisa A

Schumacher, Karen A

Heilbrunn, Alyssa

Browne, Kathleen

Kanard, Mary Elizabeth