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Jennifer Gilliam Foster

Internal Medicine

Allopathic & Osteopathic Physicians

670 Glades Rd Ste 400, Boca Raton, FL 33431-6464

PECOS Enrollment

This provider is enrolled in PECOS as JENNIFER FOSTER.

Based on the most recent information from CMS, provider Jennifer Gilliam Foster 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
1689832362
Provider Type
Individual
Full Name
Foster, Jennifer Gilliam
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
5/29/2008
Last Updated
7/12/2021

Contact Information

Practice Location

670 Glades Rd Ste 400, Boca Raton, FL 33431-6464

(561) 955-2570

Unlisted Fax

Mailing Location

777 Glades Road, College Of Medicine, Boca Raton, FL 33431

(561) 297-1144

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License ME113191 Florida
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 2011-01638 North Carolina

Provider Identifiers

ID	Description	Issuer
ID 166JP	Description Other	Issuer BCBSNC North Carolina
ID 5918715	Description Medicaid	Issuer Unlisted North Carolina

Jennifer Gilliam Foster

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

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Klein, Aaron

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Alvarez, Dayan

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Espinosa, Cynthia