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Jillian M Peavy

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

987400 Nebraska Medical Center, Omaha, NE 68198-0006

PECOS Enrollment

This provider is enrolled in PECOS as JILLIAN PEAVY.

Based on the most recent information from CMS, provider Jillian M Peavy 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
1700361896
Provider Type
Individual
Full Name
Peavy, Jillian M
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
9/25/2018
Last Updated
9/25/2018

Contact Information

Practice Location

987400 Nebraska Medical Center, Omaha, NE 68198-0006

(402) 559-7592

Unlisted Fax

Mailing Location

988102 Nebraska Medical Ctr, Omaha, NE 68198-8102

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 2257 Nebraska

Jillian M Peavy

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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