Anna Berestova | Roxbury, MA • PECOS Search

Anna Berestova

Counselor

Behavioral Health & Social Service Providers

504 Dudley St, Roxbury, MA 02119-2732

PECOS Enrollment

Based on the most recent information from CMS, provider Anna Berestova does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1982342333
Provider Type
Individual
Full Name
Berestova, Anna
Title
Miss

Gender
Female
Sole Proprietor
Yes
Enumeration Date
5/25/2022
Last Updated
5/25/2022

Contact Information

Practice Location

504 Dudley St, Roxbury, MA 02119-2732

Unlisted Fax

Mailing Location

504 Dudley St, Roxbury, MA 02119-2732

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer