Individual ProviderLuke HummelCounselorBehavioral Health & Social Service ProvidersPractice Address1933 Thomson Dr, Lynchburg, VA 24501-1008(434) 616-6762(304) 476-8395PECOS EnrollmentBased on the most recent information from CMS, provider Luke Hummel 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 ID1023696234Provider TypeIndividualFull NameHummel, LukeGenderMaleSole ProprietorNoEnumeration Date3/30/2021Last Updated4/15/2021Contact InformationPractice LocationPractice Address1933 Thomson Dr, Lynchburg, VA 24501-1008Phone(434) 616-6762Fax(434) 616-6766Mailing LocationMailing Address2009 Lakeside Dr Unit 306, Lynchburg, VA 24501-3145Phone(304) 476-8395FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense0701010419VirginiaCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense0704009027Virginia