Individual ProviderJernail ReevesCase Manager/Care CoordinatorOther Service ProvidersPractice Address1111 Mooney Ave, Hammond, LA 70403-5921(985) 662-8940PECOS EnrollmentBased on the most recent information from CMS, provider Jernail Reeves does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 8 days ago.Profile DetailsProvider ID1477910529Provider TypeIndividualFull NameReeves, JernailGenderFemaleSole ProprietorYesEnumeration Date1/20/2016Last Updated5/16/2019Contact InformationPractice LocationPractice Address1111 Mooney Ave, Hammond, LA 70403-5921Phone(985) 662-8940FaxUnlisted FaxMailing LocationMailing Address1111 Mooney Ave, Hammond, LA 70403-5921PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicense10714Louisiana