Individual ProviderKelsey JewellFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address1489 S Higley Rd, 101, Gilbert, AZ 85296(480) 457-8800PECOS EnrollmentBased on the most recent information from CMS, provider Kelsey Jewell is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1710437140Provider TypeIndividualFull NameJewell, KelseyCredentialPAGenderFemaleSole ProprietorNoEnumeration Date10/10/2016Last Updated5/30/2018Contact InformationPractice LocationPractice Address1489 S Higley Rd, 101, Gilbert, AZ 85296Phone(480) 457-8800Fax(480) 457-8885Mailing LocationMailing Address1489 S Higley Rd, 101, Gilbert, AZ 85296-4776Phone(480) 457-8800Fax(480) 457-8885Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense6460ArizonaCode363A00000XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense6460ArizonaProvider IdentifiersIDDescriptionIssuerID206469DescriptionMedicaidIssuerUnlistedArizona