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Jenny R Saleeby

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

1514 Jefferson Hwy, New Orleans, LA 70121-2429

PECOS Enrollment

This provider is enrolled in PECOS as JENNY SALEEBY.

Based on the most recent information from CMS, provider Jenny R Saleeby 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 yesterday at 12:57 PM.

Profile Details

Provider ID
1770714925
Provider Type
Individual
Full Name
Saleeby, Jenny R
Title
Ms.
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
8/6/2009
Last Updated
2/4/2015

Contact Information

Practice Location

1514 Jefferson Hwy, New Orleans, LA 70121-2429

(504) 842-4747

(504) 842-1242

Mailing Location

2670 Mills Park Dr, Rock Hill, SC 29732-8599

(803) 985-3939

(803) 985-3929

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA.200601.RX Louisiana
Code 363AM0700X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 1344 South Carolina

Provider Identifiers

ID	Description	Issuer
ID 06083530	Description Medicaid	Issuer Unlisted Mississippi
ID 2334191	Description Medicaid	Issuer Unlisted Louisiana

Jenny R Saleeby

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

Morphy, Mallory

Labiche, Tara M.

Ledet, Stephanie M

Stewart, Amanda D

Nguyen, An K

Owens, Megan Blaire

Alleyne, Katherine Buchert

Rhinehart, Rachel B

Impastato, Joseph

Diebold, Erin H.