Individual ProviderKathryn PearsonRadiologyAllopathic & Osteopathic PhysiciansPractice Address6871 Belfort Oaks Pl, Jacksonville, FL 32216-6242(904) 553-8806PECOS EnrollmentBased on the most recent information from CMS, provider Kathryn Pearson 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 11:51 AM.Profile DetailsProvider ID1760403182Provider TypeIndividualFull NamePearson, KathrynCredentialMDGenderFemaleSole ProprietorYesEnumeration Date7/21/2006Last Updated10/7/2023Contact InformationPractice LocationPractice Address6871 Belfort Oaks Pl, Jacksonville, FL 32216-6242Phone(904) 553-8806FaxUnlisted FaxMailing LocationMailing Address823 Waterman Rd N, Jacksonville, FL 32207-5240Phone(904) 553-8806FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicenseME78129FloridaCode2085B0100XDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicenseME78129FloridaCode2085N0700XDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicenseME78129FloridaCode2085N0904XDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicenseME78129FloridaCode2085P0229XDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicenseME78129FloridaCode2085R0204XDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicenseME78129FloridaCode2085U0001XDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicenseME78129FloridaProvider IdentifiersIDDescriptionIssuerID46485DescriptionOtherIssuerBCBSFloridaID00825239ADescriptionMedicaidIssuerUnlistedFloridaID256319300DescriptionMedicaidIssuerUnlistedFlorida