Individual ProviderCoalette BedkeNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1664 S Dixie Dr Ste E102, St George, UT 84770-7329(435) 703-9647PECOS EnrollmentBased on the most recent information from CMS, provider Coalette Bedke 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 4 days ago.Profile DetailsProvider ID1295487999Provider TypeIndividualFull NameBedke, CoaletteCredentialAPRNGenderFemaleSole ProprietorYesEnumeration Date1/24/2022Last Updated9/5/2023Contact InformationPractice LocationPractice Address1664 S Dixie Dr Ste E102, St George, UT 84770-7329Phone(435) 703-9647Fax(435) 703-6003Mailing LocationMailing Address1664 S Dixie Dr Ste E102, St George, UT 84770-7329Phone(435) 703-9647Fax(435) 703-6003Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense361027-4405Utah