Jayna Baczwaski | Omaha, NE • PECOS Search

Jayna Baczwaski

Counselor

Behavioral Health & Social Service Providers

11605 W Dodge Rd Ste 4, Omaha, NE 68154-2566

PECOS Enrollment

Based on the most recent information from CMS, provider Jayna Baczwaski does not have current enrollment records in PECOS.

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

CMS last updated its PECOS records yesterday at 10:51 AM.

Profile Details

Provider ID
1447576459
Provider Type
Individual
Full Name
Baczwaski, Jayna
Gender
Female

Sole Proprietor
No
Enumeration Date
4/15/2010
Last Updated
11/4/2019

Contact Information

Practice Location

11605 W Dodge Rd Ste 4, Omaha, NE 68154-2566

Unlisted Fax

Mailing Location

16615 Yort Ave, Omaha, NE 68116-2945

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 1115 Nebraska