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Tracy Chauna Mairs

Social Worker

Behavioral Health & Social Service Providers

6 Gramatan Ave, Suite 401 - C/O Wjcs, Mount Vernon, NY 10550-3208

PECOS Enrollment

This provider is enrolled in PECOS as TRACY MAIRS.

Based on the most recent information from CMS, provider Tracy Chauna Mairs 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
1841551272
Provider Type
Individual
Full Name
Mairs, Tracy Chauna
Credential
LCSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
6/1/2012
Last Updated
8/7/2024

Contact Information

Practice Location

6 Gramatan Ave, Suite 401 - C/O Wjcs, Mount Vernon, NY 10550-3208

(914) 668-8938

(914) 668-2545

Mailing Location

6 Gramatan Ave, Suite 401, Mount Vernon, NY 10550-3208

(914) 668-8938

(914) 668-2545

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 076134 New York

Tracy Chauna Mairs

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

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