Individual ProviderAlyssa QuannCounselorBehavioral Health & Social Service ProvidersPractice Address151 Mystic Ave, Medford, MA 02155-4632(781) 396-1199(774) 201-9931PECOS EnrollmentBased on the most recent information from CMS, provider Alyssa Quann is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:04 AM.Profile DetailsProvider ID1992241442Provider TypeIndividualFull NameQuann, AlyssaGenderFemaleSole ProprietorYesEnumeration Date1/9/2017Last Updated4/20/2023Contact InformationPractice LocationPractice Address151 Mystic Ave, Medford, MA 02155-4632Phone(781) 396-1199FaxUnlisted FaxMailing LocationMailing Address577 Adams St Unit D, Milton, MA 02186-5636Phone(774) 201-9931FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseLMHC5000828Massachusetts