Individual ProviderKristen JostPhysical Medicine & RehabilitationAllopathic & Osteopathic PhysiciansPractice Address25 Michigan St NE, Grand Rapids, MI 49503-2515(616) 391-3245PECOS EnrollmentBased on the most recent information from CMS, provider Kristen Jost 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 yesterday at 10:10 AM.Profile DetailsProvider ID1326453036Provider TypeIndividualFull NameJost, KristenTitleDr.CredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date6/23/2014Last Updated6/23/2014Contact InformationPractice LocationPractice Address25 Michigan St NE, Grand Rapids, MI 49503-2515Phone(616) 391-3245FaxUnlisted FaxMailing LocationMailing Address25 Michigan St NE, Grand Rapids, MI 49503-2515Phone(616) 391-3245FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208100000XPrimaryDescriptionPhysical Medicine & RehabilitationAllopathic & Osteopathic PhysiciansLicense4301105397Michigan