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Jason Perry Brewington

Family Medicine

Allopathic & Osteopathic Physicians

1500 S Main St, Fort Worth, TX 76104-4917

PECOS Enrollment

This provider is enrolled in PECOS as JASON BREWINGTON.

Based on the most recent information from CMS, provider Jason Perry Brewington 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 3 days ago.

Profile Details

Provider ID
1093994717
Provider Type
Individual
Full Name
Brewington, Jason Perry
Credential
MD

Gender
Male
Sole Proprietor
Yes
Enumeration Date
10/30/2007
Last Updated
8/4/2008

Contact Information

Practice Location

1500 S Main St, Fort Worth, TX 76104-4917

(817) 927-1215

Unlisted Fax

Mailing Location

1500 S Main St, Fort Worth, TX 76104-4917

(817) 927-1214

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License M8554 Texas

Jason Perry Brewington

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Kumar, Prasanna

Ajiboye, Onaopemipo Benjamin

Thomas, Lini M

Khan, Ajaz Omer

Wade, Madelaine

Sang, Nancy

Ezell, Justin H

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Kneten, Craig Charles

Lowe, Eddie