Look up the most recent NPI and PECOS records

Jack Hawkins

General Practice

Allopathic & Osteopathic Physicians

34800 Bob Wilson Dr Naval Medical Center San Diego, San Diego, CA 92134-0001

PECOS Enrollment

Based on the most recent information from CMS, provider Jack Hawkins 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 3 days ago.

Profile Details

Provider ID
1508445602
Provider Type
Individual
Full Name
Hawkins, Jack
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
4/6/2021
Last Updated
6/17/2024

Contact Information

Practice Location

34800 Bob Wilson Dr Naval Medical Center San Diego, San Diego, CA 92134-0001

(619) 532-6400

Unlisted Fax

Mailing Location

34800 Bob Wilson Dr, San Diego, CA 92134-1098

(619) 532-6400

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208D00000X Primary	Description General Practice Allopathic & Osteopathic Physicians	License 0101275962 Virginia

Jack Hawkins

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Elliott, Isabel Clare

Kim, Hyun Jo Michael

Adler, Snow

Bellmore, Jason T

Campedelli, Alexandra

Norwood, Abigail Jane

Kiernan, Patrick Thomas

Drummond, Brian S

Ringelberg, Kennedy James

Perkin, John