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Phyllis Woodburn Hasling

Social Worker

Behavioral Health & Social Service Providers

PECOS Enrollment

This provider is enrolled in PECOS as PHYLLIS HASLING.

Based on the most recent information from CMS, provider Phyllis Woodburn Hasling 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 3 days ago.

Profile Details

Provider ID
1811924053
Provider Type
Individual
Full Name
Hasling, Phyllis Woodburn
Title
Ms.
Credential
LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
6/26/2006
Last Updated
7/8/2007

Contact Information

Practice Location

701 Robley Dr, Lafayette, LA 70503-5200

(337) 981-3779

Unlisted Fax

Mailing Location

521 Harrell Dr, Lafayette, LA 70503-4934

(337) 981-3779

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 2625 Louisiana

Phyllis Woodburn Hasling

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

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