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Jennifer G. Cole

Pediatrics

Allopathic & Osteopathic Physicians

1601 Center St, Ste 1n, Mobile, AL 36604-1512

PECOS Enrollment

This provider is enrolled in PECOS as JENNIFER COLE.

Based on the most recent information from CMS, provider Jennifer G. Cole 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 today at 11:36 AM.

Profile Details

Provider ID
1558312348
Provider Type
Individual
Full Name
Cole, Jennifer G.
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
5/15/2006
Last Updated
3/28/2017

Contact Information

Practice Location

1601 Center St, Ste 1n, Mobile, AL 36604-1512

(251) 410-5437

(251) 343-3802

Mailing Location

PO Box 40480, Mobile, AL 36640-0480

(251) 410-5437

(251) 434-3802

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License 26527 Alabama

Provider Identifiers

ID	Description	Issuer
ID 51532950	Description Other	Issuer BCBS Alabama
ID 274609300	Description Medicaid	Issuer Unlisted Florida
ID 03077090	Description Medicaid	Issuer Unlisted Mississippi
ID 51532951	Description Other	Issuer BCBS Alabama
ID 12-06233	Description Other	Issuer UNITED HEALTHCARE Alabama
ID 009936324	Description Medicaid	Issuer Unlisted Alabama
ID 009935914	Description Medicaid	Issuer Unlisted Alabama

Jennifer G. Cole

PECOS Enrollment

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