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Julianna Rose Brown

Internal Medicine

Allopathic & Osteopathic Physicians

550 S Jackson St, Room A3k00, Louisville, KY 40202-1622

PECOS Enrollment

This provider is enrolled in PECOS as JULIANNA BROWN.

Based on the most recent information from CMS, provider Julianna Rose Brown 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 3 days ago.

Profile Details

Provider ID
1962777151
Provider Type
Individual
Full Name
Brown, Julianna Rose
Title
Dr.
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
3/20/2012
Last Updated
2/9/2017

Contact Information

Practice Location

550 S Jackson St, Room A3k00, Louisville, KY 40202-1622

(617) 851-7030

Unlisted Fax

Mailing Location

550 S Jackson St, Room A3k00, Louisville, KY 40202-1622

(617) 851-7030

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 49165 Kentucky
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Provider Identifiers

ID	Description	Issuer
ID 7100249810	Description Medicaid	Issuer Unlisted Kentucky
ID 201406710	Description Medicaid	Issuer Unlisted Indiana

Julianna Rose Brown

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

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Mccubbin, Jason P

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Mcmullin, Malik

Hiser-Kohler, Melissa M

Adami, Megan D

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Grigorov, Mladen Vladimirov

Kabir, Tanvir Fayaz

Beal, John Wesley