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Jessica Hemby Reisner

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

7903 Providence Rd Ste 100, Charlotte, NC 28277-9763

PECOS Enrollment

This provider is enrolled in PECOS as JESSICA REISNER.

Based on the most recent information from CMS, provider Jessica Hemby Reisner 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 33 days ago.

Profile Details

Provider ID
1194198853
Provider Type
Individual
Full Name
Reisner, Jessica Hemby
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
11/3/2015
Last Updated
10/25/2020

Contact Information

Practice Location

7903 Providence Rd Ste 100, Charlotte, NC 28277-9763

(704) 316-4460

Unlisted Fax

Mailing Location

PO Box 60447, Charlotte, NC 28260-0447

(704) 384-1775

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer

Jessica Hemby Reisner

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Kenney, Ethan Raymond

Aker, Kenna Brooke

Sheldon, Jennifer Shields

Young, Brenda J.

Jurcenko, Madison Lynn

Lanier, Micha

Leyrer, Jacqueline Ellen

Neagle, Paul Everette

Stone, Rachel Allyson

Hayes, Kathleen