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Jessica Alice Le

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

Sc House Calls Inc, 111 Doctors Circle, Columbia, SC 29203

PECOS Enrollment

This provider is enrolled in PECOS as JESSICA LE.

Based on the most recent information from CMS, provider Jessica Alice Le is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1407261845
Provider Type
Individual
Full Name
Le, Jessica Alice
Credential
APRN

Gender
Female
Sole Proprietor
No
Enumeration Date
6/24/2014
Last Updated
8/10/2023

Contact Information

Practice Location

Sc House Calls Inc, 111 Doctors Circle, Columbia, SC 29203

(800) 491-0909

(912) 450-6303

Mailing Location

Sc House Calls Inc, 111 Doctors Circle, Columbia, SC 29203

(800) 491-0909

(912) 450-6303

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 24072 South Carolina

Provider Identifiers

ID	Description	Issuer
ID NP6959	Description Medicaid	Issuer Unlisted South Carolina

Jessica Alice Le

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

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