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Samantha Jenkins

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

120 E 2nd St Fl 2, 2nd Floor, Erie, PA 16507-1579

PECOS Enrollment

Based on the most recent information from CMS, provider Samantha Jenkins 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 4 days ago.

Profile Details

Provider ID
1992255046
Provider Type
Individual
Full Name
Jenkins, Samantha
Gender
Female

Sole Proprietor
No
Enumeration Date
10/12/2016
Last Updated
5/24/2021

Contact Information

Practice Location

120 E 2nd St Fl 2, 2nd Floor, Erie, PA 16507-1579

(814) 456-8980

Unlisted Fax

Mailing Location

120 E 2nd St Fl 2, 2nd Floor, Erie, PA 16507-1579

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License MA058641 Pennsylvania

Samantha Jenkins

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Kies, Shelby Lynn

Skindell, Julie

Lippert, Micaela M

Halilovic, Arijana

Wise, Laura

Janson Staib, Stephanie

Borisenko, Bogdan

Nee, Margaret Rose

Francis, Ryan

Vakufac, Emina