Individual ProviderJefferey WinninghamInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1321 Colby Ave, Medical Staff Office, Everett, WA 98201-1665(425) 261-2000(866) 747-2455PECOS EnrollmentBased on the most recent information from CMS, provider Jefferey Winningham 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 ID1043316110Provider TypeIndividualFull NameWinningham, JeffereyCredentialMDGenderMaleSole ProprietorNoEnumeration Date9/16/2006Last Updated4/29/2021Contact InformationPractice LocationPractice Address1321 Colby Ave, Medical Staff Office, Everett, WA 98201-1665Phone(425) 261-2000FaxUnlisted FaxMailing LocationMailing AddressPO Box 3360, Portland, OR 97208-3360Phone(866) 747-2455FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseMD00034819WashingtonCode208M00000XDescriptionHospitalistAllopathic & Osteopathic PhysiciansLicense34819Washington