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Dylan Mitchell Hagel

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

1820 State Route 33 Ste 4b, Neptune, NJ 07753-4860

PECOS Enrollment

This provider is enrolled in PECOS as DYLAN HAGEL.

Based on the most recent information from CMS, provider Dylan Mitchell Hagel 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 6 days ago.

Profile Details

Provider ID
1922623115
Provider Type
Individual
Full Name
Hagel, Dylan Mitchell
Title
Mr.
Credential
PA-C

Gender
Male
Sole Proprietor
No
Enumeration Date
6/12/2020
Last Updated
10/22/2020

Contact Information

Practice Location

1820 State Route 33 Ste 4b, Neptune, NJ 07753-4860

(732) 776-8500

Unlisted Fax

Mailing Location

40 Cross Rd Apt 39, Matawan, NJ 07747-1105

(610) 764-1804

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 25MP00576900 New Jersey
Code 363A00000X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA-GTL-20-00749 New Jersey

Dylan Mitchell Hagel

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Shahbaz, Hunter Lynn

Hobson, Daniel J

Hawk, Lydia Anne

Rulka, Kyle

Herc, Mary E

Basilicata, Amanda

Lezzo, Nicholas J

Catalano, Michelle

Chaballa, Brian

Preston, Amanda Kay