Look up the most recent NPI and PECOS records

Brenda Jo Kowalske

Internal Medicine

Allopathic & Osteopathic Physicians

1715 Cleveland Hwy, Gainesville, GA 30501-1357

PECOS Enrollment

Based on the most recent information from CMS, provider Brenda Jo Kowalske does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1710185889
Provider Type
Individual
Full Name
Kowalske, Brenda Jo
Title
Dr.
Credential
M.D.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
7/10/2007
Last Updated
3/7/2023

Contact Information

Practice Location

1715 Cleveland Hwy, Gainesville, GA 30501-1357

(404) 276-7358

Unlisted Fax

Mailing Location

1715 Cleveland Hwy, Gainesville, GA 30501-1357

(404) 276-7358

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 35940 Georgia

Provider Identifiers

ID	Description	Issuer
ID 932229	Description Medicaid	Issuer Unlisted Arizona
ID 88173542	Description Medicaid	Issuer Unlisted Colorado
ID 76085261	Description Medicaid	Issuer Unlisted New Mexico

Brenda Jo Kowalske

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

ID

Description

Issuer

ID

Description

Issuer

Chofor, Rosemary Nkuna

Avery, Rodney J

G. Lynn Satterfield, Md,Pc

Umana, Idopise E.

Warlick, Michael David

Harris, Laurence Orin Franklin

Jain, Nitesh Kumar

Iwere, Roli Bernadette

Patel, Birju B.

Henson, John Taylor