Look up the most recent NPI and PECOS records

Jamie D. Bosch

Pediatrics

Allopathic & Osteopathic Physicians

PECOS Enrollment

Based on the most recent information from CMS, provider Jamie D. Bosch does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1255300968
Provider Type
Individual
Full Name
Bosch, Jamie D.
Title
Dr.
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
3/15/2006
Last Updated
12/20/2007

Contact Information

Practice Location

1200 56th St SW, Wyoming, MI 49509-9704

(616) 243-5707

(616) 243-1170

Mailing Location

8485 Algoma Ave NE, Rockford, MI 49341-9102

(616) 863-6220

(616) 863-6221

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License 4301070047 Michigan

Provider Identifiers

ID	Description	Issuer
ID 4738256	Description Medicaid	Issuer Unlisted Michigan
ID 4236290	Description Medicaid	Issuer Unlisted Michigan
ID 11272379	Description Other	Issuer CAQH Michigan

Jamie D. Bosch

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Brookville Pediatric & Internal Medicine, Pc

Youngs, Jenifer K..

Maki, Rebecca L.

Johns, Janet F

Edison, Megan Marie

Borrero, Flor L.

Lawrence, Charles G.

Clyde Park Pediatrics, P.C.