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Jennifer T Pilot

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

129 N Washington St, Sumter, SC 29150-4949

PECOS Enrollment

This provider is enrolled in PECOS as JENNIFER PILOT.

Based on the most recent information from CMS, provider Jennifer T Pilot 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 yesterday at 12:14 PM.

Profile Details

Provider ID
1679133524
Provider Type
Individual
Full Name
Pilot, Jennifer T
Gender
Female

Sole Proprietor
Yes
Enumeration Date
6/13/2019
Last Updated
9/22/2021

Contact Information

Practice Location

129 N Washington St, Sumter, SC 29150-4949

(803) 434-6771

(803) 434-3955

Mailing Location

PO Box 743904, Atlanta, GA 30374-3904

(803) 296-7320

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 22873 South Carolina

Jennifer T Pilot

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Whittle-Merchant, Angela Beth

Marean, Wendy L

Lee, Laurin Gaymon

Ward, Cheryl Renee

Mcdonald, Delany

Boykin, Kayla Knopf