Individual ProviderJason ConnInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address6839 Communications Pkwy, Plano, TX 75024-5991(972) 258-7426(972) 733-7242PECOS EnrollmentBased on the most recent information from CMS, provider Jason Conn is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 4:18 PM.Profile DetailsProvider ID1336218437Provider TypeIndividualFull NameConn, JasonTitleDr.CredentialD.O.GenderMaleSole ProprietorNoEnumeration Date11/6/2006Last Updated9/20/2023Contact InformationPractice LocationPractice Address6839 Communications Pkwy, Plano, TX 75024-5991Phone(972) 258-7426Fax(469) 549-7818Mailing LocationMailing Address1820 Preston Park Blvd Ste 2500, Plano, TX 75093-3674Phone(972) 733-7242Fax(972) 733-7257Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseL3612TexasProvider IdentifiersIDDescriptionIssuerID195307702DescriptionMedicaidIssuerUnlistedTexas