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Matthew Scott Dustin

Social Worker

Behavioral Health & Social Service Providers

6070 S Eastern Ave, #200, Las Vegas, NV 89119-3171

PECOS Enrollment

This provider is enrolled in PECOS as MATTHEW DUSTIN.

Based on the most recent information from CMS, provider Matthew Scott Dustin 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 4 days ago.

Profile Details

Provider ID
1861720047
Provider Type
Individual
Full Name
Dustin, Matthew Scott
Credential
LCSW

Gender
Male
Sole Proprietor
Yes
Enumeration Date
11/25/2009
Last Updated
4/4/2012

Contact Information

Practice Location

6070 S Eastern Ave, #200, Las Vegas, NV 89119-3171

(702) 292-3774

Unlisted Fax

Mailing Location

3421 Brayton Mist Dr, North Las Vegas, NV 89081-6527

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 6118-C Nevada

Matthew Scott Dustin

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

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Description

License

Code

Description

License

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