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 2 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