Individual ProviderMaryann HansethSocial WorkerBehavioral Health & Social Service ProvidersPractice Address3015 Squalicum Pkwy, Bellingham, WA 98225-1945(360) 715-4186PECOS EnrollmentBased on the most recent information from CMS, provider Maryann Hanseth is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1699735639Provider TypeIndividualFull NameHanseth, MaryannCredentialLICSWGenderFemaleSole ProprietorNoEnumeration Date3/24/2006Last Updated12/1/2010Contact InformationPractice LocationPractice Address3015 Squalicum Pkwy, Bellingham, WA 98225-1945Phone(360) 715-4186Fax(360) 715-4143Mailing LocationMailing AddressPO Box 5096, Bellingham, WA 98227Phone(360) 715-4186Fax(360) 715-4143Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseLW00006428WashingtonProvider IdentifiersIDDescriptionIssuerID7111517DescriptionOtherIssuerAETNAWashingtonID1699735639DescriptionMedicaidIssuerUnlistedWashingtonID7544HADescriptionOtherIssuerREGENCEWashington