Individual ProviderJennifer R ElliottPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3400 Spruce St, 4 Silverstein, Philadelphia, PA 19104-4206(215) 662-2626PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer R Elliott does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1740435049Provider TypeIndividualFull NameElliott, Jennifer RCredentialPA-CGenderFemaleSole ProprietorNoEnumeration Date12/1/2008Last Updated3/1/2013Contact InformationPractice LocationPractice Address3400 Spruce St, 4 Silverstein, Philadelphia, PA 19104-4206Phone(215) 662-2626FaxUnlisted FaxMailing LocationMailing Address3400 Spruce St, 4 Silverstein, Philadelphia, PA 19104-4206Phone(215) 662-2626FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363AM0700XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseMA053573Pennsylvania