Jeanelle Denise Pickering Wolski | Austin, TX • PECOS Search

Jeanelle Denise Pickering Wolski

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

4700 Seton Center Pkwy Ste 100, Austin, TX 78759-6215

(512) 439-1006 (512) 716-9664

PECOS Enrollment

Based on the most recent information from CMS, provider Jeanelle Denise Pickering Wolski 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 yesterday at 12:57 PM.

Profile Details

Provider ID
1891266144
Provider Type
Individual
Full Name
Pickering Wolski, Jeanelle Denise
Credential
LSA

Gender
Female
Sole Proprietor
Yes
Enumeration Date
12/16/2018
Last Updated
12/15/2021

Contact Information

Practice Location

4700 Seton Center Pkwy Ste 100, Austin, TX 78759-6215

Unlisted Fax

Mailing Location

1913 Sand Creek Rd, Cedar Park, TX 78613-7664

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363AS0400X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License SA00767 Texas