Look up the most recent NPI and PECOS records

Elisa Frazier

Social Worker

Behavioral Health & Social Service Providers

1111 N Wells St Ste 400, Chicago, IL 60610-7632

PECOS Enrollment

Based on the most recent information from CMS, provider Elisa Frazier 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 2 days ago.

Profile Details

Provider ID
1730631409
Provider Type
Individual
Full Name
Frazier, Elisa
Gender
Female

Sole Proprietor
No
Enumeration Date
10/28/2016
Last Updated
10/28/2016

Contact Information

Practice Location

1111 N Wells St Ste 400, Chicago, IL 60610-7632

(312) 573-8860

Unlisted Fax

Mailing Location

1111 N Wells St Ste 400, Chicago, IL 60610-7632

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 149.018752 Illinois

Elisa Frazier

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

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Description

License

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License

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