Individual ProviderJennifer WeichNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1229 Alice Dr, Sumter, SC 29150-1970(803) 905-2273PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer Weich is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:14 PM.Profile DetailsProvider ID1053843623Provider TypeIndividualFull NameWeich, JenniferCredentialFNP-CGenderFemaleSole ProprietorNoEnumeration Date4/1/2017Last Updated2/25/2020Contact InformationPractice LocationPractice Address1229 Alice Dr, Sumter, SC 29150-1970Phone(803) 905-2273Fax(803) 905-7775Mailing LocationMailing Address1229 Alice Dr, Sumter, SC 29150-1970Phone(803) 905-2273Fax(803) 905-7775Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense20900South Carolina