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Elaine J Block-Pellegrini

Counselor

Behavioral Health & Social Service Providers

PECOS Enrollment

This provider is enrolled in PECOS as ELAINE BLOCK-PELLEGRINI.

Based on the most recent information from CMS, provider Elaine J Block-Pellegrini 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
1366612244
Provider Type
Individual
Full Name
Block-Pellegrini, Elaine J
Title
Ms.

Gender
Female
Sole Proprietor
No
Enumeration Date
3/6/2008
Last Updated
3/6/2008

Contact Information

Practice Location

200 Boston Ave, Medford, MA 02155-4243

(781) 306-1180

(781) 306-1190

Mailing Location

200 Boston Ave, Medford, MA 02155-4243

(781) 306-1180

(781) 306-1190

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 219 Massachusetts

Elaine J Block-Pellegrini

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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