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Judith Anne Peelle

Social Worker

Behavioral Health & Social Service Providers

PECOS Enrollment

This provider is enrolled in PECOS as JUDITH PEELLE.

Based on the most recent information from CMS, provider Judith Anne Peelle 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 4 days ago.

Profile Details

Provider ID
1487653465
Provider Type
Individual
Full Name
Peelle, Judith Anne
Title
Ms.
Credential
LMSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
7/20/2005
Last Updated
9/17/2008

Contact Information

Practice Location

3855 Forest Trl, Allegan, MI 49010-9465

(269) 355-6089

Unlisted Fax

Mailing Location

3855 Forest Trl, Allegan, MI 49010-9465

(269) 355-6089

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 6801068379 Michigan

Provider Identifiers

ID	Description	Issuer
ID 068379	Description Other	Issuer STATE LICENSE Michigan

Judith Anne Peelle

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Roebling, Jerilyn Jean

Heinonen, Dennis Frank

Grace, Gabrielle

Segar, Stephanie

Klay, Leigh Ann

Case, Kimberly Ann

Weld, Larissa

Doyle, Susan E

Hoekstra, Patrick

Kelly, Morgan