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Jessie Xue Ying Zhao

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

This provider is enrolled in PECOS as JESSIE ZHAO.

Based on the most recent information from CMS, provider Jessie Xue Ying Zhao 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 9:43 AM.

Profile Details

Provider ID
1144991241
Provider Type
Individual
Full Name
Zhao, Jessie Xue Ying
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
9/28/2021
Last Updated
11/18/2021

Contact Information

Practice Location

833 58th St, Brooklyn, NY 11220-3609

(718) 686-8888

Unlisted Fax

Mailing Location

833 58th St, Brooklyn, NY 11220-3609

(718) 686-8888

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 027324 New York

Jessie Xue Ying Zhao

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Ho, Teresa

Levitin, Michael

Murillo, Andrew J

Fazzolari, Theresa Lynne

Liu, Yan Hong

Gangadyal, Kevin Mike

Relucio, Samantha

Shnaidman, Olga

You, Mengyuan

Liang, Gloria Chu-Qing