Individual ProviderJessica BelalcazarNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address6200 Sunset Dr Ste 301, South Miami, FL 33143-4829(305) 669-9521(305) 323-0935PECOS EnrollmentBased on the most recent information from CMS, provider Jessica Belalcazar 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 4 days ago.Profile DetailsProvider ID1285198994Provider TypeIndividualFull NameBelalcazar, JessicaGenderFemaleSole ProprietorNoEnumeration Date1/27/2019Last Updated1/27/2019Contact InformationPractice LocationPractice Address6200 Sunset Dr Ste 301, South Miami, FL 33143-4829Phone(305) 669-9521FaxUnlisted FaxMailing LocationMailing Address8800 NW 36th St Apt 4660, Doral, FL 33178-3496Phone(305) 323-0935FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAPRN9378747Florida