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Joel C Cobb

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

9900 Bren Rd E, Minnetonka, MN 55343-9664

PECOS Enrollment

This provider is enrolled in PECOS as JOEL COBB.

Based on the most recent information from CMS, provider Joel C Cobb 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 4 days ago.

Profile Details

Provider ID
1487671160
Provider Type
Individual
Full Name
Cobb, Joel C
Credential
APRN

Gender
Male
Sole Proprietor
No
Enumeration Date
7/17/2006
Last Updated
6/28/2020

Contact Information

Practice Location

9900 Bren Rd E, Minnetonka, MN 55343-9664

(870) 247-7632

Unlisted Fax

Mailing Location

207 Oak Tree Rdg, Sheridan, AR 72150-8374

(870) 329-4355

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License A001812 Arkansas

Provider Identifiers

ID	Description	Issuer
ID A001812	Description Other	Issuer ADVNACED PRACTICE NURSE - STATE OF ARKANSAS Arkansas

Joel C Cobb

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

Stone, Cristina

Ainsworth, Lorina

Rucker, Sylvia Tawanda

Hayes, Jesse

Katamba, Sarah Janet

Keener, Shelly K.

Serdynski, Georgetta S

Mcclintic, Kimberly Anne

Hocking, Tracey L

Nicholas, Jean L