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Jesse L Bernard

Social Worker

Behavioral Health & Social Service Providers

315 College Farm Rd, Waltham, MA 02451-3147

PECOS Enrollment

This provider is enrolled in PECOS as JESSE BERNARD.

Based on the most recent information from CMS, provider Jesse L Bernard 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 10:04 AM.

Profile Details

Provider ID
1245361781
Provider Type
Individual
Full Name
Bernard, Jesse L
Credential
LICSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
3/8/2007
Last Updated
5/21/2009

Contact Information

Practice Location

315 College Farm Rd, Waltham, MA 02451-3147

(617) 538-9011

Unlisted Fax

Mailing Location

315 College Farm Rd, Waltham, MA 02451-3147

(617) 538-9011

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 111123 Massachusetts

Jesse L Bernard

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Willinsky, Amy Michele

Miller, Janelle Anne

Christin, Mary Teresa

Devitt, Jill Scott

Woodward, Emma

Mortimer, Sarah

Goldberg, Lindsay A

Conway, Katherine

Decolo, Pamela Stubbs

Garber, Karen