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Jenna Cook

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

2801 W Kinnickinnic River Pkwy Ste 260, Milwaukee, WI 53215-3669

PECOS Enrollment

Based on the most recent information from CMS, provider Jenna Cook 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 11:26 AM.

Profile Details

Provider ID
1730669565
Provider Type
Individual
Full Name
Cook, Jenna
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
8/21/2018
Last Updated
10/30/2023

Contact Information

Practice Location

2801 W Kinnickinnic River Pkwy Ste 260, Milwaukee, WI 53215-3669

(414) 649-6030

Unlisted Fax

Mailing Location

2801 W Kinnickinnic River Pkwy Ste 260, Milwaukee, WI 53215-3669

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 4500 Wisconsin

Jenna Cook

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Finn, Andrea M

Stillo, Adam N

Bowers, Reid Christian

Howard, Rachel Deborah

Balderas, Katie Jane

Rogers, Krista N

Williams, Hannah Elizabeth

Pruessing, Paul

Zolper, Julie

Jankins, Kayla