Individual ProviderSungah McgarySocial WorkerBehavioral Health & Social Service ProvidersPractice Address3456 E 17th St Ste 270, Ammon, ID 83406-6749(801) 655-5450(801) 631-9758PECOS EnrollmentBased on the most recent information from CMS, provider Sungah Mcgary is legally eligible to order and refer claims for DME services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1669939401Provider TypeIndividualFull NameMcgary, SungahCredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date2/28/2019Last Updated6/20/2024Contact InformationPractice LocationPractice Address3456 E 17th St Ste 270, Ammon, ID 83406-6749Phone(801) 655-5450Fax(385) 225-9327Mailing LocationMailing Address2750 Plommon St, Idaho Falls, ID 83402-5129Phone(801) 631-9758FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseLCSW-44685IdahoCode171M00000XDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense12874681-3502Utah