Individual ProviderOttis James AlfredNon-emergency Medical Transport (VAN)Transportation ServicesPractice Address201 Heymann Blvd Ste 10, Lafayette, LA 70503-2404(337) 303-3227PECOS EnrollmentBased on the most recent information from CMS, provider Ottis James Alfred does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:00 AM.Profile DetailsProvider ID1962141804Provider TypeIndividualFull NameAlfred, Ottis JamesGenderMaleSole ProprietorYesEnumeration Date5/31/2022Last Updated5/31/2022Contact InformationPractice LocationPractice Address201 Heymann Blvd Ste 10, Lafayette, LA 70503-2404Phone(337) 303-3227FaxUnlisted FaxMailing LocationMailing Address201 Heymann Blvd Ste 10, Lafayette, LA 70503-2404Phone(337) 303-3227FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode343900000XPrimaryDescriptionNon-emergency Medical Transport (VAN)Transportation ServicesLicenseUnlisted IssuerLouisianaProvider IdentifiersIDDescriptionIssuerID1245687923DescriptionOtherIssuerNON-MEDICAL TRANSPORTATIONID1245687923DescriptionMedicaidIssuerUnlistedLouisiana