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Mary Kate Barnes

Social Worker

Behavioral Health & Social Service Providers

1000 Targee St Apt 4k, Staten Island, NY 10304-4472

PECOS Enrollment

This provider is enrolled in PECOS as MARY BARNES.

Based on the most recent information from CMS, provider Mary Kate Barnes 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 yesterday at 11:47 AM.

Profile Details

Provider ID
1992403703
Provider Type
Individual
Full Name
Barnes, Mary Kate
Credential
LMSW

Gender
Female
Sole Proprietor
No
Enumeration Date
2/21/2023
Last Updated
2/21/2023

Contact Information

Practice Location

1000 Targee St Apt 4k, Staten Island, NY 10304-4472

(917) 922-9062

Unlisted Fax

Mailing Location

1000 Targee St Apt 4k, Staten Island, NY 10304-4472

(917) 922-9062

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 104100000X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 113227-01 New York

Mary Kate Barnes

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Gonzalez-Fuentes, Martha

Mathew, Ashley

Foster, Barkel Thomas

Mcmahon, Maureen

Howard, Anne

Cho, Ah Eh

Yupa, Maria G

D'Ambrosio, Frank William

Taveras, Jefferson

Smith, Shawn Angelique