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 yesterday at 11:51 AM.

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

Harold, Alyssa

Kamolmatayakul, Sila

Martin, Shiloh

Johnson, Melissa

Pitts, Jane E.

Mauk, Gabrielle Nichole

Kee, Joshua

Worsham, Katherine

Winebarger, Amanda

Schooler, Karla K