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Jackson Forrest Lamb

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

42nd And Emile Street, Omaha, NE 68198-0001

PECOS Enrollment

This provider is enrolled in PECOS as JACKSON LAMB.

Based on the most recent information from CMS, provider Jackson Forrest Lamb 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
1659005791
Provider Type
Individual
Full Name
Lamb, Jackson Forrest
Gender
Male

Sole Proprietor
No
Enumeration Date
7/14/2022
Last Updated
1/24/2024

Contact Information

Practice Location

42nd And Emile Street, Omaha, NE 68198-0001

(402) 559-4000

Unlisted Fax

Mailing Location

4214 Davenport St, Omaha, NE 68131-2242

(641) 221-0911

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 3041 Nebraska

Jackson Forrest Lamb

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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