Individual ProviderJennifer TchervenkovStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address47 New Scotland Avenue,, Department Of Medicine, Albany, NY 12208(518) 262-5377PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer Tchervenkov 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 ID1174018238Provider TypeIndividualFull NameTchervenkov, JenniferCredentialMDGenderFemaleSole ProprietorNoEnumeration Date6/29/2018Last Updated6/29/2018Contact InformationPractice LocationPractice Address47 New Scotland Avenue,, Department Of Medicine, Albany, NY 12208Phone(518) 262-5377FaxUnlisted FaxMailing LocationMailing Address47 New Scotland Avenue,, Department Of Medicine, Albany, NY 12208PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicense64099