Individual ProviderChristian ScottSocial WorkerBehavioral Health & Social Service ProvidersPractice Address4055 Spencer St #118, Las Vegas, NV 89119(702) 799-9710PECOS EnrollmentBased on the most recent information from CMS, provider Christian Scott 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 4 days ago.Profile DetailsProvider ID1720697980Provider TypeIndividualFull NameScott, ChristianGenderMaleSole ProprietorNoEnumeration Date7/23/2020Last Updated7/23/2020Contact InformationPractice LocationPractice Address4055 Spencer St #118, Las Vegas, NV 89119Phone(702) 799-9710FaxUnlisted FaxMailing LocationMailing Address4055 Spencer St #118, Las Vegas, NV 89119Phone(702) 799-9710FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense8246-SNevada