Individual ProviderCarly JenningsStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address42nd And Emile, Omaha, NE 68198(402) 559-4000PECOS EnrollmentBased on the most recent information from CMS, provider Carly Jennings 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 2 days ago.Profile DetailsProvider ID1598292575Provider TypeIndividualFull NameJennings, CarlyTitleDr.CredentialMDGenderFemaleSole ProprietorNoEnumeration Date5/22/2017Last Updated6/22/2018Contact InformationPractice LocationPractice Address42nd And Emile, Omaha, NE 68198Phone(402) 559-4000FaxUnlisted FaxMailing LocationMailing Address42nd And Emile, Omaha, NE 68198-0001PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer