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Eric Jiayun Gao

Student in an Organized Health Care Education/Training Program

Student, Health Care

3000 Arlington Ave # 1193, Toledo, OH 43614-2595

PECOS Enrollment

This provider is enrolled in PECOS as ERIC GAO.

Based on the most recent information from CMS, provider Eric Jiayun Gao 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 today at 11:36 AM.

Profile Details

Provider ID
1134709587
Provider Type
Individual
Full Name
Gao, Eric Jiayun
Credential
DO

Gender
Male
Sole Proprietor
Yes
Enumeration Date
4/10/2021
Last Updated
7/15/2024

Contact Information

Practice Location

3000 Arlington Ave # 1193, Toledo, OH 43614-2595

(419) 383-5686

Unlisted Fax

Mailing Location

702 Commerce Dr Ste 140, Perrysburg, OH 43551-5239

(571) 525-8048

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer
Code 2084P0800X	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License 34.016921 Ohio

Eric Jiayun Gao

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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Abu-Sabha, Yasser

Elfadaly, Ahmed Nabih

Hamouda, Danae Marie

Bucher, Rachel

Rohs, Michael Henry

Gonthina, Venkata Prasanthi

Blank, Andrew David

Tabassum, Arooj

Mussad, Tawfik