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Ann Jackson Burns

Social Worker

Behavioral Health & Social Service Providers

2600 Johnston St, Lafayette, LA 70503-3269

PECOS Enrollment

This provider is enrolled in PECOS as ANN BURNS.

Based on the most recent information from CMS, provider Ann Jackson Burns 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 3 days ago.

Profile Details

Provider ID
1104438720
Provider Type
Individual
Full Name
Burns, Ann Jackson
Credential
LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
8/17/2020
Last Updated
8/17/2020

Contact Information

Practice Location

2600 Johnston St, Lafayette, LA 70503-3269

(337) 232-1234

Unlisted Fax

Mailing Location

2600 Johnston St, Lafayette, LA 70503-3269

(337) 232-1234

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 7752 Louisiana

Ann Jackson Burns

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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