Individual ProviderJessica FaillaPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice AddressNebraska Medicine Family Medicine Durham Ctr, 4400 Emile Street, Omaha, NE 68198-0001(402) 559-7200(402) 980-0901PECOS EnrollmentBased on the most recent information from CMS, provider Jessica Failla 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 2 days ago.Profile DetailsProvider ID1770969123Provider TypeIndividualFull NameFailla, JessicaGenderFemaleSole ProprietorNoEnumeration Date8/8/2015Last Updated8/29/2015Contact InformationPractice LocationPractice AddressNebraska Medicine Family Medicine Durham Ctr, 4400 Emile Street, Omaha, NE 68198-0001Phone(402) 559-7200FaxUnlisted FaxMailing LocationMailing Address16120 Josephine St, Omaha, NE 68136-1053Phone(402) 980-0901FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted Issuer