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Michael A. Stanton

Social Worker

Behavioral Health & Social Service Providers

141 Ridgeway Dr, Suite 105, Lafayette, LA 70503-3402

PECOS Enrollment

This provider is enrolled in PECOS as MICHAEL STANTON.

Based on the most recent information from CMS, provider Michael A. Stanton 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 today at 10:46 AM.

Profile Details

Provider ID
1417022732
Provider Type
Individual
Full Name
Stanton, Michael A.
Title
Mr.
Credential
LCSW

Gender
Male
Sole Proprietor
No
Enumeration Date
11/21/2006
Last Updated
12/27/2010

Contact Information

Practice Location

141 Ridgeway Dr, Suite 105, Lafayette, LA 70503-3402

(337) 984-4167

Unlisted Fax

Mailing Location

141 Ridgeway Dr, Suite 105, Lafayette, LA 70503-3402

(337) 984-4167

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 2557 Louisiana

Michael A. Stanton

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Wallace, Dionne

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Dominique, Aimee D.

Assure