Individual ProviderAllison PeddleFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address1500 S Main St, Fort Worth, TX 76104-4917(817) 702-1200PECOS EnrollmentBased on the most recent information from CMS, provider Allison Peddle is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1164784492Provider TypeIndividualFull NamePeddle, AllisonGenderFemaleSole ProprietorNoEnumeration Date6/12/2012Last Updated9/29/2015Contact InformationPractice LocationPractice Address1500 S Main St, Fort Worth, TX 76104-4917Phone(817) 702-1200FaxUnlisted FaxMailing LocationMailing Address1500 S Main St, Fort Worth, TX 76104-4917PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseP8170Texas