Look up the most recent NPI and PECOS records

Jennifer Tobias Rouchka

Internal Medicine

Allopathic & Osteopathic Physicians

550 S Jackson St, Acb Building Suite 300, Louisville, KY 40202-1622

PECOS Enrollment

This provider is enrolled in PECOS as JENNIFER ROUCHKA.

Based on the most recent information from CMS, provider Jennifer Tobias Rouchka 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 3 days ago.

Profile Details

Provider ID
1649300716
Provider Type
Individual
Full Name
Rouchka, Jennifer Tobias
Title
Dr.
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
3/6/2007
Last Updated
7/8/2007

Contact Information

Practice Location

550 S Jackson St, Acb Building Suite 300, Louisville, KY 40202-1622

(502) 852-7041

Unlisted Fax

Mailing Location

313 Short Rd, Louisville, KY 40207-2815

(502) 896-2594

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License R1050 Kentucky

Jennifer Tobias Rouchka

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Adami, Megan D

Currier, Alden Chase

Azabache Orrillo, Hilda Evelyn

Patel, Sahil

Moser, Christopher M

Cua, Yvette Marie

University Medical Associates

Davis, Paul

Ozor, Uchenna Loretta

Tobias, Derrick Edward