Look up the most recent NPI and PECOS records

Jennifer Lynn Childers

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

1100 Main St Ste 104, Wheeling, WV 26003-2737

PECOS Enrollment

This provider is enrolled in PECOS as JENNIFER CHILDERS.

Based on the most recent information from CMS, provider Jennifer Lynn Childers 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
1689821068
Provider Type
Individual
Full Name
Childers, Jennifer Lynn
Title
Mrs.
Credential
PHYSICIAN ASSITANT -

Gender
Female
Sole Proprietor
No
Enumeration Date
8/27/2008
Last Updated
4/17/2023

Contact Information

Practice Location

1100 Main St Ste 104, Wheeling, WV 26003-2737

(304) 460-5123

(800) 734-8498

Mailing Location

1005 White Willow Way, Morgantown, WV 26505-6119

(304) 460-5123

(800) 734-8498

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 785 West Virginia
Code 363A00000X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer

Jennifer Lynn Childers

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Smithbauer, Matthew

Raygor, Benjamin

Franke, Alexander E

Meyers, Emily Marie

Haught, Ashley Danielle

Shepard, Clint

Knight, Lindy M

Mcdonald, Ethan Wesley

Smith, Abigail Maria

Waialae, Laura