Look up the most recent NPI and PECOS records

Jennifer Pritchard

Social Worker

Behavioral Health & Social Service Providers

4830 W Newport Ave Unit 1, Chicago, IL 60641-3556

PECOS Enrollment

Based on the most recent information from CMS, provider Jennifer Pritchard is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1427795194
Provider Type
Individual
Full Name
Pritchard, Jennifer
Gender
Female

Sole Proprietor
No
Enumeration Date
5/16/2022
Last Updated
5/16/2022

Contact Information

Practice Location

4830 W Newport Ave Unit 1, Chicago, IL 60641-3556

(219) 743-1712

Unlisted Fax

Mailing Location

4830 W Newport Ave Unit 1, Chicago, IL 60641-3556

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 149.022248 Illinois

Jennifer Pritchard

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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