Individual ProviderJessica S MannionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address13336 Industrial Rd, Suite 105, Omaha, NE 68137-1124(402) 330-3211(402) 578-3146PECOS EnrollmentBased on the most recent information from CMS, provider Jessica S Mannion 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 2 days ago.Profile DetailsProvider ID1952369373Provider TypeIndividualFull NameMannion, Jessica SCredentialSLPGenderFemaleEnumeration Date5/3/2006Last Updated8/22/2017Contact InformationPractice LocationPractice Address13336 Industrial Rd, Suite 105, Omaha, NE 68137-1124Phone(402) 330-3211Fax(402) 330-5970Mailing LocationMailing Address7686 Walnut St, Omaha, NE 68124-1717Phone(402) 578-3146FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense976NebraskaProvider IdentifiersIDDescriptionIssuerID47065477700DescriptionMedicaidIssuerUnlistedNebraska