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Jennifer Kundick

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

200 Lothrop St, 613 Scaife Hall, Pittsburgh, PA 15213-2536

PECOS Enrollment

Based on the most recent information from CMS, provider Jennifer Kundick 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 2 days ago.

Profile Details

Provider ID
1730719501
Provider Type
Individual
Full Name
Kundick, Jennifer
Gender
Female

Sole Proprietor
No
Enumeration Date
1/21/2020
Last Updated
5/24/2021

Contact Information

Practice Location

200 Lothrop St, 613 Scaife Hall, Pittsburgh, PA 15213-2536

(412) 647-2345

Unlisted Fax

Mailing Location

200 Lothrop St, 613 Scaife Hall, Pittsburgh, PA 15213-2536

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License MA061395 Pennsylvania

Jennifer Kundick

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Shin, Louisa Urgo

Gallo, Patricia C

Hayes, Sara Nicole

Graham, Jacob Philip

Acosta, Michelle

Mellon, Kristin

Vanlieshout, Adam

Casey, Brian

Hickey, Kristin Nicole

Fadale, Emilie