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Olivia Grace Thompson

Student in an Organized Health Care Education/Training Program

Student, Health Care

PECOS Enrollment

This provider is enrolled in PECOS as OLIVIA THOMPSON.

Based on the most recent information from CMS, provider Olivia Grace Thompson is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1366288086
Provider Type
Individual
Full Name
Thompson, Olivia Grace
Gender
Female

Sole Proprietor
No
Enumeration Date
7/2/2024
Last Updated
7/2/2024

Contact Information

Practice Location

42 And Emilie St, Omaha, NE 68198-0001

(402) 559-4000

Unlisted Fax

Mailing Location

42 And Emilie St, Omaha, NE 68198-0001

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Olivia Grace Thompson

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

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