Individual ProviderAdam M WassFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address722 Baker St, Costa Mesa, CA 92626-4320(714) 557-6300(714) 665-1600PECOS EnrollmentThis provider is enrolled in PECOS as ADAM WASS.Based on the most recent information from CMS, provider Adam M Wass 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 2 days ago.Profile DetailsProvider ID1831140938Provider TypeIndividualFull NameWass, Adam MTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date5/13/2006Last Updated1/4/2013Contact InformationPractice LocationPractice Address722 Baker St, Costa Mesa, CA 92626-4320Phone(714) 557-6300Fax(714) 996-9567Mailing LocationMailing Address2742 Dow Ave, Tustin, CA 92780-7242Phone(714) 665-1600FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseA87070CaliforniaProvider IdentifiersIDDescriptionIssuerID00A870700DescriptionMedicaidIssuerUnlistedCalifornia