Individual ProviderJessica KirkPediatricsAllopathic & Osteopathic PhysiciansPractice Address1601 Center St, Ste 1n, Mobile, AL 36604-1512(251) 410-5437PECOS EnrollmentBased on the most recent information from CMS, provider Jessica Kirk 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 yesterday at 11:36 AM.Profile DetailsProvider ID1699817536Provider TypeIndividualFull NameKirk, JessicaTitleDr.CredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date2/13/2007Last Updated3/24/2017Contact InformationPractice LocationPractice Address1601 Center St, Ste 1n, Mobile, AL 36604-1512Phone(251) 410-5437Fax(251) 434-3802Mailing LocationMailing AddressPO Box 40480, Mobile, AL 36640-0480Phone(251) 410-5437Fax(251) 434-3802Provider TaxonomiesCodeDescriptionLicenseCode208000000XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicense29020AlabamaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerAlabama