Individual ProviderJake BowlingStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address809 82nd Pkwy, Myrtle Beach, SC 29572-4607(843) 848-4670PECOS EnrollmentBased on the most recent information from CMS, provider Jake Bowling 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 4 days ago.Profile DetailsProvider ID1083174734Provider TypeIndividualFull NameBowling, JakeGenderMaleSole ProprietorNoEnumeration Date3/20/2019Last Updated3/20/2019Contact InformationPractice LocationPractice Address809 82nd Pkwy, Myrtle Beach, SC 29572-4607Phone(843) 848-4670FaxUnlisted FaxMailing LocationMailing Address102 Trail Bend Ct, Cary, NC 27513-3420PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer