Individual ProviderEvan WinrichInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address550 S Jackson St Fl Street3, Louisville, KY 40202-1622(502) 852-5666(502) 852-8696PECOS EnrollmentBased on the most recent information from CMS, provider Evan Winrich 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 2 days ago.Profile DetailsProvider ID1184281065Provider TypeIndividualFull NameWinrich, EvanGenderMaleSole ProprietorNoEnumeration Date5/25/2019Last Updated11/28/2022Contact InformationPractice LocationPractice Address550 S Jackson St Fl Street3, Louisville, KY 40202-1622Phone(502) 852-5666FaxUnlisted FaxMailing LocationMailing Address500 S Preston St Rm 305, Louisville, KY 40202-1702Phone(502) 852-8696FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseR6121KentuckyCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer