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Molly Elise Mccallum

Student in an Organized Health Care Education/Training Program

Student, Health Care

12631 East 17th Place, B177, Aurora, CO 80045

PECOS Enrollment

This provider is enrolled in PECOS as MOLLY MCCALLUM.

Based on the most recent information from CMS, provider Molly Elise Mccallum 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 today at 8:47 AM.

Profile Details

Provider ID
1407336779
Provider Type
Individual
Full Name
Mccallum, Molly Elise
Gender
Female

Sole Proprietor
No
Enumeration Date
8/16/2018
Last Updated
4/6/2021

Contact Information

Practice Location

12631 East 17th Place, B177, Aurora, CO 80045

(303) 724-1784

Unlisted Fax

Mailing Location

12631 East 17th Place, Mailstop B177, Aurora, CO 80045-2527

(303) 724-1784

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

Molly Elise Mccallum

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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