Look up the most recent NPI and PECOS records

John Gajewski

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

Based on the most recent information from CMS, provider John Gajewski 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 2 days ago.

Profile Details

Provider ID
1598338733
Provider Type
Individual
Full Name
Gajewski, John
Credential
PA-C

Gender
Male
Sole Proprietor
No
Enumeration Date
7/23/2021
Last Updated
7/23/2021

Contact Information

Practice Location

42nd And Emile St, Omaha, NE 68198-0001

(402) 552-6007

Unlisted Fax

Mailing Location

988102 Nebraska Medical Ctr, Omaha, NE 68198-8102

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 2612 Nebraska

John Gajewski

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Simms, Joshua

Drey, Katie

Lamb, Jackson Forrest

Reicks, Brandon L

Fricke, Miranda M

Sorrell, Claire Marie

Allison, Melissa A

Andree, Kurt S

Roessner, Barbara E

Storey, Anne Marie