Look up the most recent NPI and PECOS records

Stacia Hanson

Counselor

Behavioral Health & Social Service Providers

3410 Old Forest Rd, Lynchburg, VA 24501-2915

PECOS Enrollment

Based on the most recent information from CMS, provider Stacia Hanson 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 2 days ago.

Profile Details

Provider ID
1609380690
Provider Type
Individual
Full Name
Hanson, Stacia
Gender
Female

Sole Proprietor
No
Enumeration Date
11/29/2017
Last Updated
11/29/2017

Contact Information

Practice Location

3410 Old Forest Rd, Lynchburg, VA 24501-2915

(434) 455-5342

Unlisted Fax

Mailing Location

3410 Old Forest Rd, Lynchburg, VA 24501-2915

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 0701006903 Virginia

Stacia Hanson

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Martin, Shiloh

Schooler, Karla K

Roach, Kenneth Phillip

Ayers, Brittany

Hamilton, Christina Michelle

Divers-Wiggs, Marsha

Hamed-Moore, Heather Erin

Centra Health Professional Services, Llc

Evans, Jenna

Pearce, Allyson Rae-Ausel