Individual ProviderEnid PeuraSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1055 E Baltimore Pike Ste 300, Media, PA 19063-5173(610) 892-3800PECOS EnrollmentBased on the most recent information from CMS, provider Enid Peura 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 2 days ago.Profile DetailsProvider ID1902958853Provider TypeIndividualFull NamePeura, EnidTitleMrs.CredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date1/18/2007Last Updated8/8/2025Contact InformationPractice LocationPractice Address1055 E Baltimore Pike Ste 300, Media, PA 19063-5173Phone(610) 892-3800FaxUnlisted FaxMailing LocationMailing Address1055 E Baltimore Pike Ste 300, Media, PA 19063-5173Phone(610) 892-3800FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseCW014365Pennsylvania