Look up the most recent NPI and PECOS records

Mary Martineau

Social Worker

Behavioral Health & Social Service Providers

5965 S 900 E, Salt Lake City, UT 84121-1720

PECOS Enrollment

Based on the most recent information from CMS, provider Mary Martineau 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 2 days ago.

Profile Details

Provider ID
1124404504
Provider Type
Individual
Full Name
Martineau, Mary
Gender
Female

Sole Proprietor
No
Enumeration Date
8/7/2015
Last Updated
8/7/2015

Contact Information

Practice Location

5965 S 900 E, Salt Lake City, UT 84121-1720

(801) 263-7138

Unlisted Fax

Mailing Location

5965 S 900 E, Salt Lake City, UT 84121-1720

(801) 263-7138

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer

Mary Martineau

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Priedeman, Sandra

Lake, Rickie Inez Berrett

Brown, Ingrid

Armstrong, Christine Bergstrom

Haacke, Leticia

Jocelyn Holbrook, Lcsw, Llc

Lambert, Maegan

Christophe, Anthony Jerome

Golden, Gregg

Mccardell, Alisiah Elizabeth