Look up the most recent NPI and PECOS records

Jennifer Knaak Zimmer

Internal Medicine

Allopathic & Osteopathic Physicians

4708 Alliance Blvd Ste 300, Baylor Medical Plaza 1, Plano, TX 75093-5339

PECOS Enrollment

This provider is enrolled in PECOS as JENNIFER ZIMMER.

Based on the most recent information from CMS, provider Jennifer Knaak Zimmer 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 6 days ago.

Profile Details

Provider ID
1619083029
Provider Type
Individual
Full Name
Zimmer, Jennifer Knaak
Title
Dr.
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
8/21/2006
Last Updated
11/29/2022

Contact Information

Practice Location

4708 Alliance Blvd Ste 300, Baylor Medical Plaza 1, Plano, TX 75093-5339

(972) 758-6000

(972) 758-6001

Mailing Location

4708 Alliance Blvd Ste 300, Baylor Medical Plaza 1, Plano, TX 75093-5339

(972) 758-6000

(972) 758-6001

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License L9575 Texas

Provider Identifiers

ID	Description	Issuer
ID 1687485-01	Description Medicaid	Issuer Unlisted Texas

Jennifer Knaak Zimmer

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Noor Wellness Clinics Pllc

Healthtexas-Dallas Diagnostic Association

Tobolowsky, Paul Arthur

Strawman, David Andrew

Wittenberg, John Frederick

Oladiran, Oyebola O

Krisik, Linda S

Mary T. Mcgarry, M.D. P.A.

Stokes, Deborah F.

Dinh, Marie T