Individual ProviderBonnie P HallSocial WorkerBehavioral Health & Social Service ProvidersPractice Address3015 Squalicum Pkwy Ste 100, Bellingham, WA 98225-1906(360) 715-4186PECOS EnrollmentThis provider is enrolled in PECOS as BONNIE HALL.Based on the most recent information from CMS, provider Bonnie P Hall is legally eligible to order and refer claims for DME services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1821541509Provider TypeIndividualFull NameHall, Bonnie PTitleMrs.CredentialLICSWGenderFemaleSole ProprietorYesEnumeration Date7/28/2016Last Updated12/15/2022Contact InformationPractice LocationPractice Address3015 Squalicum Pkwy Ste 100, Bellingham, WA 98225-1906Phone(360) 715-4186Fax(360) 715-4187Mailing LocationMailing Address1115 SE 164th Ave Dept 358, Vancouver, WA 98683-8004PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseLW 60344414Washington