Individual ProviderBridget Landry CrochetSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1011 Harding St, Lafayette, LA 70503-2411(337) 591-7563(337) 504-4279PECOS EnrollmentThis provider is enrolled in PECOS as BRIDGET CROCHET.Based on the most recent information from CMS, provider Bridget Landry Crochet 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 3 days ago.Profile DetailsProvider ID1689162828Provider TypeIndividualFull NameCrochet, Bridget LandryTitleMrs.CredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date4/24/2018Last Updated6/11/2020Contact InformationPractice LocationPractice Address1011 Harding St, Lafayette, LA 70503-2411Phone(337) 591-7563Fax(337) 247-9706Mailing LocationMailing Address106 Heymann Blvd, Lafayette, LA 70503-2322Phone(337) 504-4279FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense8270Louisiana